Organization
COMPREHENSIVE SURGICAL CARE OF ROSEVILLE, LLC
Active
Parent organization
REGEN ASC MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGEN ASC MANAGEMENT, LLC
Authorized official
JOEL RAINWATER (PRESIDENT)
(480) 219-0123
Entity
Organization
Contact information
Practice address
1386 LEAD HILL BVLD, ROSEVILLE, CA 95661
(480) 591-9345
Mailing address
1386 LEAD HILL BVLD, ROSEVILLE, CA 95661
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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