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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