Organization
NORCAL ORTHOPEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
100 PARK PL # 110, SAN RAMON, CA 94583-4460
(925) 413-0407
Mailing address
100 PARK PL STE 110, SAN RAMON, CA 94583-4460
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
09/21/2023
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