Organization Name: | SPECIALTY CARE AND SURGERY CENTER |
NPI Number: | 1184844607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA R DHANDA (OWNER/PHYSICIAN) |
Mailing Address: | 5685 Main St Kelseyville |
State: | CA US |
Postal Code: | 954518945 |
Phone Number: | 7072798733 |
Fax Number: | 7072798731 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 03/18/2015 |
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: |