# VCA IN SURGERY ASSISTING SERVICES LLC

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

## Provider details

- **NPI number:** 1396022810
- **Authorized official:** VICTOR S CHAVEZ-ABRAHAM SURGICAL ASSISTANT (OWNER)
- **Authorized official phone:** (303) 587-7121

## Contact information

- **Practice address:** 11000 TIMBER RIDGE LN, HIGHLANDS RANCH, CO 80130-6956
- **Practice address phone:** (303) 587-7121
- **Mailing address:** 11000 TIMBER RIDGE LN, HIGHLANDS RANCH, CO 80130-6956
- **Mailing address phone:** (303) 587-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1276 | CO | Yes |

## Other

- **Enumeration date:** 11/11/2011
- **Last updated:** 11/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1629356647 | NPI | CO |