Organization
MT. DIABLO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MACK (AREA VP)
(925) 674-4740
Entity
Organization
Contact information
Practice address
2540 EAST ST, 2ND FLOOR, A2, CONCORD, CA 94520-1906
(925) 674-4740
Mailing address
PO BOX 5214, CONCORD, CA 94524-0214
(925) 674-4740
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000123
CA
Other
Enumeration date
05/23/2006
Last updated
06/18/2010
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