Organization
SUMMIT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIN MALLAVARAM (PRESIDENT)
(925) 469-9120
Entity
Organization
Contact information
Practice address
5924 STONERIDGE DR, 206, PLEASANTON, CA 94588-2887
(925) 469-9120
Mailing address
5924 STONERIDGE DR, 206, PLEASANTON, CA 94588-2887
(925) 469-9120
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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