Organization
APOGEE OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J WHITEAKER (ADMINISTRATOR)
(530) 246-2467
Entity
Organization
Contact information
Practice address
1238 WEST STREET, REDDING, CA 96001
(530) 241-5499
(530) 242-9460
Mailing address
1238 WEST STREET, REDDING, CA 96001
(530) 241-5499
(530) 242-9460
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230000324
CALIFORNIA DHS LICENSE #
CA
01
—
5500000028948476
NATIONAL PRACTITIONER
CA
05
—
SUR01471F
—
CA
Enumeration date
10/06/2006
Last updated
11/23/2011
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