Organization
ADVANCED AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARTHIKEYA DEVIREDDY M.D. (PRESIDENT)
(209) 489-9110
Entity
Organization
Contact information
Practice address
400 W I ST, SUITE E, LOS BANOS, CA 93635-3459
(209) 489-9110
(209) 826-0199
Mailing address
1500 HILLVIEW DR, LOS BANOS, CA 93635-4705
(209) 489-9110
(209) 826-0199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
11/04/2015
Last updated
07/21/2022
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