Provider Demographics
NPI:1578671038
Name:OUTPATIENT SURGERY CENTER OF THE NORTH AREA
Entity Type:Organization
Organization Name:OUTPATIENT SURGERY CENTER OF THE NORTH AREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:H
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-961-2083
Mailing Address - Street 1:6633 COYLE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6332
Mailing Address - Country:US
Mailing Address - Phone:916-965-5321
Mailing Address - Fax:
Practice Address - Street 1:6633 COYLE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6332
Practice Address - Country:US
Practice Address - Phone:916-965-5321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical