Healthcare Provider Details

I. General information

NPI: 1649052903
Provider Name (Legal Business Name): VALLEY SURGICAL SUITES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3365 SOLANO AVE
NAPA CA
94558-3203
US

IV. Provider business mailing address

3365 SOLANO AVE
NAPA CA
94558-3203
US

V. Phone/Fax

Practice location:
  • Phone: 707-287-2985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON HUFFMAN
Title or Position: CEO
Credential: MD
Phone: 707-694-5357