Provider Demographics
NPI:1720387889
Name:APTOS SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:APTOS SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MAREK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:831-588-7296
Mailing Address - Street 1:3275 APTOS RANCHO RD
Mailing Address - Street 2:STE 1A
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3983
Mailing Address - Country:US
Mailing Address - Phone:831-662-3890
Mailing Address - Fax:831-662-3480
Practice Address - Street 1:3275 APTOS RANCHO RD
Practice Address - Street 2:STE 1A
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3983
Practice Address - Country:US
Practice Address - Phone:831-662-3890
Practice Address - Fax:831-662-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical