# SANTA ROSA SURGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1497407894
- **Authorized official:** ERIC BRUNTLETT (ADMINISTRATOR)
- **Authorized official phone:** (707) 495-9632

## Contact information

- **Practice address:** 1739 4TH ST, SANTA ROSA, CA 95404-3601
- **Practice address phone:** (707) 931-5599
- **Practice address fax:** (707) 222-5099
- **Mailing address:** 1739 4TH ST, SANTA ROSA, CA 95404-3601
- **Mailing address phone:** (707) 931-5599

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 11/04/2022