# AVICENNA SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1245146554
- **Authorized official:** MR. PAUL SCHRUPP (CEO)
- **Authorized official phone:** (916) 235-6802

## Contact information

- **Practice address:** 530 PLAZA DR STE 110, FOLSOM, CA 95630-4782
- **Practice address phone:** (916) 235-6802
- **Mailing address:** 530 PLAZA DR STE 110, FOLSOM, CA 95630-4782
- **Mailing address phone:** (916) 768-2890

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2026
- **Last updated:** 08/19/2026