Organization
HACIENDA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W ODELL (MANAGER)
(805) 679-7557
Entity
Organization
Contact information
Practice address
4626 WILLOW RD, PLEASANTON, CA 94588-2710
(805) 679-7557
Mailing address
2927 DE LA VINA ST, SANTA BARBARA, CA 93105-3362
(805) 679-7557
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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