# ALTAMONT SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194536664
- **Authorized official:** PAUL SCHRUPP (MANAGER)
- **Authorized official phone:** (916) 768-2890

## Contact information

- **Practice address:** 205 W 9TH ST, TRACY, CA 95376-3921
- **Practice address phone:** (916) 235-6802
- **Mailing address:** ALTAMONT SURGERY CENTER, 530 PLAZA DRIVE \#110, FOLSOM, CA 95630
- **Mailing address phone:** (916) 235-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025
