# KY ADVANCED SURGICAL CENTER INC

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

## Provider details

- **NPI number:** 1730514027
- **Authorized official:** SARAH BARELA (BILLER)
- **Authorized official phone:** (559) 435-1757

## Contact information

- **Practice address:** 3796 N FRESNO ST, 103, FRESNO, CA 93726-5500
- **Practice address phone:** (559) 221-9905
- **Practice address fax:** (559) 221-9908
- **Mailing address:** 3796 N FRESNO ST STE 103, FRESNO, CA 93726-5500
- **Mailing address phone:** (559) 221-9905
- **Mailing address fax:** (559) 221-9908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 20A10743 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2013
- **Last updated:** 12/13/2024