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Organization
CALIFORNIA SKIN SURGERY CENTER INC
Active
Organization
CALIFORNIA SKIN SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M BRICCA M.D. (PRESIDENT)
(916) 772-1585
Entity
Organization
Contact information
Practice address
9269 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661
(916) 772-1585
Mailing address
9269 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A70396
CA
Other
Enumeration date
05/08/2008
Last updated
01/21/2009
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