# HACIENDA OUTPATIENT SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hacienda Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346649480
- **Authorized official:** ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 4626 WILLOW RD, SUITE 100, PLEASANTON, CA 94588-8517
- **Practice address phone:** (925) 734-6744
- **Practice address fax:** (925) 734-6769
- **Mailing address:** 4626 WILLOW RD, SUITE 100, PLEASANTON, CA 94588-8517
- **Mailing address phone:** (925) 734-6744
- **Mailing address fax:** (925) 734-6769

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 10/07/2024