# NIVANO AMBULATORY SURGERY CENTER, LP

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

## Provider details

- **NPI number:** 1497130660
- **Authorized official:** VENU KONDLE M.D. (CEO)
- **Authorized official phone:** (530) 300-3074

## Contact information

- **Practice address:** 77 CADILLAC DR, SUITE 130, SACRAMENTO, CA 95825-5453
- **Practice address phone:** (916) 407-2222
- **Mailing address:** 77 CADILLAC DR, SUITE 130, SACRAMENTO, CA 95825-5453

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015