Organization
PHYSICIANS SURGERY CENTER OF MODESTO LLC
Active
Other names
River Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (MARKET PRESIDENT)
(480) 567-0269
Entity
Organization
Contact information
Practice address
609 E ORANGEBURG AVE # B, MODESTO, CA 95350-5580
(209) 527-6700
Mailing address
609 E ORANGEBURG AVE BLDG B, MODESTO, CA 95350-5512
(209) 527-6700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0557938
CA
Other
Enumeration date
04/02/2007
Last updated
11/19/2025
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