Organization
STOCKDALE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA RIVAS (ADMINISTRATIVE ASSISTANT)
(661) 665-7885
Entity
Organization
Contact information
Practice address
9802 STOCKDALE HWY, 104, BAKERSFIELD, CA 93311-3613
(661) 665-7885
(661) 735-3941
Mailing address
9802 STOCKDALE HWY, 104, BAKERSFIELD, CA 93311-3613
(661) 665-7885
(661) 735-3941
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1940
PTAN
CA
Enumeration date
04/17/2009
Last updated
02/14/2012
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