Organization Name: | NATRAJ SURGERY CENTER INC. |
NPI Number: | 1083711568 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JYOTSANA PANDYA (ASC SUPERVISOR) |
Mailing Address: | 555 West Putnam Ave Porterville |
State: | CA US |
Postal Code: | 93257 |
Phone Number: | 5597880505 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2006 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 550000077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |