Provider Demographics
NPI:1831809730
Name:NAPA OUTPATIENT SURGERY CENTER, LLC
Entity type:Organization
Organization Name:NAPA OUTPATIENT SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-513-5747
Mailing Address - Street 1:3435 VALLE VERDE DR STE C
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2408
Mailing Address - Country:US
Mailing Address - Phone:707-819-2370
Mailing Address - Fax:
Practice Address - Street 1:3435 VALLE VERDE DR STE C
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2408
Practice Address - Country:US
Practice Address - Phone:707-819-2370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON OUTPATIENT SURGERY CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-01
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical