Organization
CENTRAL VALLEY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH ACHARYA (AUTHORIZED OFFICIAL)
(602) 370-0721
Entity
Organization
Contact information
Practice address
2120 19TH ST, BAKERSFIELD, CA 93301-3709
(661) 903-9555
Mailing address
2120 19TH ST, BAKERSFIELD, CA 93301-3709
(661) 903-9555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174786347
NPI
CA
Enumeration date
08/22/2018
Last updated
04/05/2020
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