Organization Name: | TEMPLETON SURGERY CENTER, LLC |
NPI Number: | 1063453561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN VINEYARD (BUSINESS OFFICE MANAGER) |
Mailing Address: | 1310 Las Tablas Road Suite 104 Templeton |
State: | CA US |
Postal Code: | 934659746 |
Phone Number: | 8054343550 |
Fax Number: | 8054343595 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |