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Organization

FOLSOM OUTPATIENT SURGERY CENTER, LP

Active
Other names
Folsom Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization

Contact information

Practice address
1651 CREEKSIDE DR, STE 100, FOLSOM, CA 95630
(916) 673-1990
(916) 673-1999
Mailing address
1651 CREEKSIDE DR, STE 100, FOLSOM, CA 95630-3833
(916) 673-1990
(916) 673-1999

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00308892
RAILROAD MEDICARE
CA
Enumeration date
03/09/2006
Last updated
10/07/2024
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