Porter Ambulatory Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in San Ramon, CA. Organization (NPI-2).
NPI number1164028478
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1164028478
- Entity type
- Organization (NPI-2)
- Legal business name
- Porter Ambulatory Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
200 Porter Dr Ste 110bSan Ramon, CA 94583-1524
Phone 925-413-0407
Mailing address
200 Porter Dr Ste 110bSan Ramon, CA 94583-1524
Authorized official
Cindy James
Partner
9254623020
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