Organization
SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY
Active
Parent organization
SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY
Other names
Donald Waldrep, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY
Authorized official
DR. DONALD WALDREP MD (MD / CEO)
(805) 230-0030
Entity
Organization
Contact information
Practice address
110 JENSEN CT, SUITE 1B, THOUSAND OAKS, CA 91360-7483
(805) 230-0030
(805) 230-2995
Mailing address
110 JENSEN CT, SUITE 1B, THOUSAND OAKS, CA 91360-7483
(805) 230-0030
(805) 230-2995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G75982
CA
Other
Enumeration date
05/31/2016
Last updated
03/29/2024
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