Organization
JEDI VENTURES, LLC
Active
Organization
JEDI VENTURES, LLC
Active
Other names
Sacramento Eye SurgiCenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LIANG M.D. (MEDICAL DIRECTOR)
(916) 444-7052
Entity
Organization
Contact information
Practice address
3150 J ST, SACRAMENTO, CA 95816-4403
(916) 444-7052
(916) 446-1145
Mailing address
3150 J ST, SACRAMENTO, CA 95816-4403
(916) 444-7052
(916) 446-1145
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR51062H
—
CA
Enumeration date
09/20/2006
Last updated
01/09/2008
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