# FOLSOM PLAZA SURGICAL ASSOCIATES, INC

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

## Provider details

- **NPI number:** 1487120762
- **Authorized official:** NIRVANA KUNDU (OWNER)
- **Authorized official phone:** (530) 665-3212

## Contact information

- **Practice address:** 530 PLAZA DR STE 110, FOLSOM, CA 95630-4782
- **Practice address phone:** (707) 474-4433
- **Mailing address:** PO BOX 34120, RENO, NV 89533-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018