Organization
LASSEN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDRA UPPAL M.D., F.A.C.O.G., F. (ADMINISTRATOR)
(503) 257-7773
Entity
Organization
Contact information
Practice address
103 FAIR DR, SUSANVILLE, CA 96130
(530) 257-7773
(530) 257-2939
Mailing address
PO BOX 1150, SUSANVILLE, CA 96130
(530) 257-7773
(530) 257-2939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
09/11/2009
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