Organization
VISALIA AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSAI AZIZ M.D. (PRESIDENT)
(559) 735-0500
Entity
Organization
Contact information
Practice address
105 E NOBLE AVE, VISALIA, CA 93277-2717
(559) 735-0500
Mailing address
101 E NOBLE AVE, VISALIA, CA 93277-2717
(559) 735-0500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A97987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265590863
MEDICARE NPI
—
Enumeration date
08/29/2015
Last updated
01/13/2023
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