Provider Demographics
NPI:1275892481
Name:MONTEREY PENINSULA SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:MONTEREY PENINSULA SURGERY CENTER, LLC
Other - Org Name:SALINAS SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-753-5800
Mailing Address - Street 1:955 BLANCO CIR STE A
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4452
Mailing Address - Country:US
Mailing Address - Phone:831-753-5800
Mailing Address - Fax:831-753-5808
Practice Address - Street 1:955 BLANCO CIR STE A
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4452
Practice Address - Country:US
Practice Address - Phone:831-753-5800
Practice Address - Fax:831-753-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical