Organization
RADIANT SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMOD KUMAR SRIVASTAVA MD (PRESIDENT)
(661) 496-0887
Entity
Organization
Contact information
Practice address
9610 STOCKDALE HWY, SUITE A, BAKERSFIELD, CA 93311-3625
(661) 496-0887
Mailing address
9610 STOCKDALE HWY, SUITE C, BAKERSFIELD, CA 93311-3625
(661) 496-0887
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A51256
CA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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