Organization
LDAC SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D LADENHEIM MD (PRESIDENT)
(559) 446-1065
Entity
Organization
Contact information
Practice address
6153 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 436-8193
Mailing address
6153 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 436-8193
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437753
JOINT COMMISSION
CA
Enumeration date
05/17/2012
Last updated
05/17/2012
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