Organization
MODESTO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY L CASEY (BUSINESS OFFICE MANAGER)
(209) 526-3000
Entity
Organization
Contact information
Practice address
400 E ORANGEBURG AVE, SUITE 1, MODESTO, CA 95350-5342
(209) 526-3000
(209) 526-3133
Mailing address
400 E ORANGEBURG AVE, SUITE 1, MODESTO, CA 95350-5342
(209) 526-3000
(209) 526-3133
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01324F
—
CA
Enumeration date
06/01/2006
Last updated
08/22/2020
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