Organization
PCCC SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE HERNANDEZ (ADMINISTRATOR)
(833) 478-1818
Entity
Organization
Contact information
Practice address
5771 N FRESNO ST STE 101, FRESNO, CA 93710-6091
(833) 478-1818
Mailing address
3550 Q ST STE 304B, BAKERSFIELD, CA 93301-1662
(833) 478-1818
(833) 478-1817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
01/02/2025
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