Organization
MODESTO SPECIALTY SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P TAHERI MD (OWNER)
(310) 922-1412
Entity
Organization
Contact information
Practice address
3105 MCHENRY AVE # 102, MODESTO, CA 95350-1439
(800) 991-6448
(424) 369-9555
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(800) 991-6448
(424) 369-9555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/12/2026
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