Organization
UAS MANAGEMENT, INC.
Active
Other names
University Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R GROSSMAN M.D. (MEDICAL DIRECTOR)
(209) 580-3400
Entity
Organization
Contact information
Practice address
1390 E YOSEMITE AVE STE B, MERCED, CA 95340-8221
(209) 580-3400
Mailing address
1390 E YOSEMITE AVE STE B, MERCED, CA 95340-8221
(209) 580-3400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
040000537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353163400
US DEPT OF LABOR
CA
01
—
AS1571
BLUE CROSS
CA
05
—
SUR01571F
—
CA
01
—
ZZZH2404Z
BLUE SHIELD
CA
Enumeration date
12/08/2006
Last updated
02/19/2016
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