# SYLVAN SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1801822739
- **Authorized official:** ERIC BOON (MARKET PRESIDENT)
- **Authorized official phone:** (408) 567-0269

## Contact information

- **Practice address:** 2336 SYLVAN AVE, SUITE B, MODESTO, CA 95355-9211
- **Practice address phone:** (209) 338-0393
- **Practice address fax:** (209) 338-0398
- **Mailing address:** 2336 SYLVAN AVE STE B, MODESTO, CA 95355-9211
- **Mailing address phone:** (209) 338-0393
- **Mailing address fax:** (209) 338-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000147 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 01/30/2026
