Organization
SIERRA SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L MACK R.N. (REGIONAL VICE PRESIDENT)
(925) 947-5276
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5276
Mailing address
PO BOX 30335, WALNUT CREEK, CA 94598-9335
(925) 947-5276
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
09/21/2005
Last updated
08/22/2020
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