# PACIFIC SACRAMENTO SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1265362974
- **Authorized official:** DR. DENNIS SONG MD, DDS (MEDICAL DIRECTOR)
- **Authorized official phone:** (415) 929-6603

## Contact information

- **Practice address:** 3333 3RD AVE STE B, SACRAMENTO, CA 95817-2808
- **Practice address phone:** (913) 313-9812
- **Mailing address:** 3601 PACIFIC AVE, STOCKTON, CA 95211-0110

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2026
- **Last updated:** 07/31/2026