Organization
NORTHERN CALIFORNIA SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCOTT HARMON (ADMINISTRATOR/ DON)
(209) 668-9866
Entity
Organization
Contact information
Practice address
3850 GEER RD, TURLOCK, CA 95382-1146
(209) 668-9866
(209) 668-9843
Mailing address
3850 GEER RD, TURLOCK, CA 95382-1146
(209) 668-9866
(209) 668-9843
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS1758
BLUE CROSS
CA
Enumeration date
05/20/2006
Last updated
05/22/2023
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