Provider Demographics
NPI:1548605082
Name:SACRAMENTO VALLEY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:SACRAMENTO VALLEY SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-473-7602
Mailing Address - Street 1:1970 LAKE BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-5663
Mailing Address - Country:US
Mailing Address - Phone:530-756-1152
Mailing Address - Fax:530-756-1153
Practice Address - Street 1:1970 LAKE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-5663
Practice Address - Country:US
Practice Address - Phone:530-756-1152
Practice Address - Fax:530-756-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical