Organization
ESCNC LLC
Active
Other names
Eye Surgery Center of Northern California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUJAHID HINES MD (OWNER)
(916) 723-7400
Entity
Organization
Contact information
Practice address
1386 LEAD HILL BLVD STE 130, ROSEVILLE, CA 95661-2936
(916) 527-8921
(916) 238-6209
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(877) 455-9942
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
030000363
CA
261QS0132X
Ophthalmologic Surgery Clinic/Center
030000363
CA
Other
Enumeration date
06/21/2006
Last updated
03/03/2026
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