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Altamont Surgery Center

Clinic/Center, Ambulatory Surgical in Tracy, CA. Organization (NPI-2).

NPI number1194536664
StatusActive
Last updated in NPPESJan 15, 2025

Details

NPI
1194536664
Entity type
Organization (NPI-2)
Legal business name
Altamont Surgery Center
Organization subpart
No
Enumeration date
Jan 15, 2025
Certification date
Jan 13, 2025
Last updated
Jan 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Practice location

205 W 9th St
Tracy, CA 95376-3921

Phone 916-235-6802

Mailing address

Altamont Surgery Center
530 Plaza Drive #110
Folsom, CA 95630

Phone 916-235-6802

Other practice locations

Altamont Surgery Center
530 Plaza Drive #110
Folsom, CA 95630-4782

Phone 916-235-6802

Authorized official

Paul Schrupp
Manager
9167682890

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