# MT. DIABLO SURGERY CENTER

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

## Provider details

- **NPI number:** 1326093717
- **Authorized official:** DEBBIE MACK (AREA VP)
- **Authorized official phone:** (925) 674-4740

## Contact information

- **Practice address:** 2540 EAST ST, 2ND FLOOR, A2, CONCORD, CA 94520-1906
- **Practice address phone:** (925) 674-4740
- **Mailing address:** PO BOX 5214, CONCORD, CA 94524-0214
- **Mailing address phone:** (925) 674-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000123 | CA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 06/18/2010