Provider Demographics
NPI:1407010911
Name:SARATOGA SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:SARATOGA SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL PARTNER,
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-255-3223
Mailing Address - Street 1:12945 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4131
Mailing Address - Country:US
Mailing Address - Phone:408-255-3223
Mailing Address - Fax:408-255-3957
Practice Address - Street 1:12945 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4131
Practice Address - Country:US
Practice Address - Phone:408-255-3223
Practice Address - Fax:408-255-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical