# HACIENDA SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1780853044
- **Authorized official:** DAVID W ODELL (MANAGER)
- **Authorized official phone:** (805) 679-7557

## Contact information

- **Practice address:** 4626 WILLOW RD, PLEASANTON, CA 94588-2710
- **Practice address phone:** (805) 679-7557
- **Mailing address:** 2927 DE LA VINA ST, SANTA BARBARA, CA 93105-3362
- **Mailing address phone:** (805) 679-7557

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 02/20/2008