Healthcare Provider Details

I. General information

NPI: 1548605082
Provider Name (Legal Business Name): SACRAMENTO VALLEY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 LAKE BLVD SUITE 2
DAVIS CA
95616-5663
US

IV. Provider business mailing address

1970 LAKE BLVD SUITE 2
DAVIS CA
95616-5663
US

V. Phone/Fax

Practice location:
  • Phone: 530-756-1152
  • Fax: 530-756-1153
Mailing address:
  • Phone: 530-756-1152
  • Fax: 530-756-1153

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: MR. LAWRENCE R CATE
Title or Position: ADMINISTRATOR
Credential:
Phone: 916-473-7602