# VALLEY SURGERY CENTER AT MODESTO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VALLEY SURGERY CENTER, LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235106782
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 1300 MABLE AVE, SUITE 1, MODESTO, CA 95355-1120
- **Practice address phone:** (209) 571-1633
- **Practice address fax:** (206) 491-0772
- **Mailing address:** 1300 MABLE AVE STE 1, MODESTO, CA 95355-1120
- **Mailing address phone:** (209) 571-1633
- **Mailing address fax:** (209) 491-0772

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 11/20/2025