# LASSEN SURGERY CENTER

> 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:** 1962543710
- **Authorized official:** INDRA UPPAL M.D., F.A.C.O.G., F. (ADMINISTRATOR)
- **Authorized official phone:** (503) 257-7773

## Contact information

- **Practice address:** 103 FAIR DR, SUSANVILLE, CA 96130
- **Practice address phone:** (530) 257-7773
- **Practice address fax:** (530) 257-2939
- **Mailing address:** PO BOX 1150, SUSANVILLE, CA 96130
- **Mailing address phone:** (530) 257-7773
- **Mailing address fax:** (530) 257-2939

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/11/2009