Healthcare Provider Details

I. General information

NPI: 1366635609
Provider Name (Legal Business Name): APPLE SURGERY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9870 BRIMHALL RD UNIT 200
BAKERSFIELD CA
93312-2798
US

IV. Provider business mailing address

PO BOX 22500
BAKERSFIELD CA
93390-2500
US

V. Phone/Fax

Practice location:
  • Phone: 661-637-1005
  • Fax: 661-637-1006
Mailing address:
  • Phone: 661-637-1005
  • Fax: 661-637-1006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANDAKUMAR B. RAVI
Title or Position: OWNER/SECRETARY
Credential: MD
Phone: 661-637-1005