# NATIONAL SURGICAL CENTERS STOCKTON, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922625995
- **Authorized official:** MRS. DIANE L BOONE RN (CHIEF NURSING OFFICER)
- **Authorized official phone:** (312) 919-9560

## Contact information

- **Practice address:** 415 E HARDING WAY STE E, STOCKTON, CA 95204-6118
- **Practice address phone:** (310) 919-9560
- **Mailing address:** 561 WINDING BROOK FARM RD, WATERTOWN, CT 06795-1747
- **Mailing address phone:** (310) 919-9560

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 06/25/2020