Organization
SYLVAN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (MARKET PRESIDENT)
(408) 567-0269
Entity
Organization
Contact information
Practice address
2336 SYLVAN AVE, SUITE B, MODESTO, CA 95355-9211
(209) 338-0393
(209) 338-0398
Mailing address
2336 SYLVAN AVE STE B, MODESTO, CA 95355-9211
(209) 338-0393
(209) 338-0398
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000147
STATE LICENSE #
CA
05
—
SUR01780F
—
CA
Enumeration date
06/23/2006
Last updated
01/30/2026
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