Organization
SIERRA EYE AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON BAZHAW (SR VP REVENUE CYCLE)
(214) 893-0471
Entity
Organization
Contact information
Practice address
2828 W MAIN ST, VISALIA, CA 93291-4331
(559) 734-7272
(559) 733-7438
Mailing address
2830 W MAIN ST, VISALIA, CA 93291-4331
(559) 734-7272
(559) 733-7438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-C0001473
DEPT HEALTH & HUMAN SERVI
CA
05
—
SUR01473F
—
CA
Enumeration date
05/27/2006
Last updated
06/29/2023
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