Organization
PARK PLACE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L WONG (ADMINISTRATOR)
(650) 224-3369
Entity
Organization
Contact information
Practice address
100 PARK PL STE 110, SAN RAMON, CA 94583-4460
(650) 224-3369
Mailing address
100 PARK PL STE 110, SAN RAMON, CA 94583-4460
(650) 224-3369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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