# SAN LEANDRO SURGERY CENTER LTD

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

## Provider details

- **NPI number:** 1952302895
- **Authorized official:** BRADLEY HEATON (CEO)
- **Authorized official phone:** (916) 566-4907

## Contact information

- **Practice address:** 15035 E 14TH STREET, SAN LEANDRO, CA 94578-1901
- **Practice address phone:** (510) 276-2800
- **Practice address fax:** (510) 276-6896
- **Mailing address:** 15035 E 14TH STREET, SAN LEANDRO, CA 94578-1901
- **Mailing address phone:** (510) 276-2800
- **Mailing address fax:** (510) 276-6896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 140000348 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 05/08/2024