Organization
HACIENDA OUTPATIENT SURGERY CENTER, LLC
Active
Other names
Hacienda Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
4626 WILLOW RD, SUITE 100, PLEASANTON, CA 94588-8517
(925) 734-6744
(925) 734-6769
Mailing address
4626 WILLOW RD, SUITE 100, PLEASANTON, CA 94588-8517
(925) 734-6744
(925) 734-6769
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
10/07/2024
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