Organization
TRACY OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARPREET S GREWAL M.D. (MEDICAL DIRECTOR)
(209) 833-8797
Entity
Organization
Contact information
Practice address
530 W EATON AVE STE P, TRACY, CA 95376
(209) 833-8797
(209) 835-3246
Mailing address
530 W EATON AVE STE P, TRACY, CA 95376
(209) 833-8797
(209) 835-3246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
CA030001797
CA
261QE0800X
Endoscopy Clinic/Center
Primary
CA030001797
CA
Other
Enumeration date
04/21/2006
Last updated
10/05/2010
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