# ROSEVILLE SURGERY CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roseville Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982672283
- **Authorized official:** ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 1420 E ROSEVILLE PKWY, STE 100, ROSEVILLE, CA 95661-3078
- **Practice address phone:** (916) 677-2488
- **Practice address fax:** (916) 677-2496
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916
- **Mailing address phone:** (916) 677-2488
- **Mailing address fax:** (916) 677-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 030000764 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 10/11/2024