Organization
SAN JOAQUIN VALLEY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA PORTER (ASSISTANT MANAGER)
(888) 942-9997
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE STE 240, MODESTO, CA 95350-4566
(888) 942-9997
Mailing address
269 S BEVERLY DR STE 353, BEVERLY HILLS, CA 90212-3851
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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