Organization
NIVANO AMBULATORY SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENU KONDLE M.D. (CEO)
(530) 300-3074
Entity
Organization
Contact information
Practice address
77 CADILLAC DR, SUITE 130, SACRAMENTO, CA 95825-5453
(916) 407-2222
Mailing address
77 CADILLAC DR, SUITE 130, SACRAMENTO, CA 95825-5453
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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