Organization
WATSONVILLE SURGEONS GROUP LLC
Active
Other names
Central Coast Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SEUBERT HALEY (TREASURER)
(831) 462-5512
Entity
Organization
Contact information
Practice address
160 GREEN VALLEY RD, SUITE 101, FREEDOM, CA 95019-3160
(831) 763-9700
(831) 763-9799
Mailing address
160 GREEN VALLEY RD, SUITE 101, FREEDOM, CA 95019-3160
(831) 763-9700
(831) 763-9799
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
070000651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01580F
—
CA
Enumeration date
07/29/2006
Last updated
05/16/2019
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