Organization
NAADI MANTECA ASC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVEN ROY (MANAGING PARTNER)
(209) 788-8180
Entity
Organization
Contact information
Practice address
145 TREVINO AVE, MANTECA, CA 95337-4200
(209) 756-4832
Mailing address
145 TREVINO AVE, MANTECA, CA 95337-4200
(209) 788-8180
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
09/13/2023
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