# ST. JOSEPH'S SURGERY CENTER LP

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

## Provider details

- **NPI number:** 1619974219
- **Authorized official:** ERIC BOON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 1800 N CALIFORNIA ST, STE 1, STOCKTON, CA 95204-6019
- **Practice address phone:** (209) 467-6316
- **Practice address fax:** (209) 461-6895
- **Mailing address:** 1800 N CALIFORNIA ST, STE 1, STOCKTON, CA 95204-6019
- **Mailing address phone:** (209) 467-6316
- **Mailing address fax:** (209) 461-6895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | EXEMPT FROM LICENSUR | CA | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 10/23/2024