Healthcare Provider Details
I. General information
NPI: 1205983285
Provider Name (Legal Business Name): SALINAS VALLEY AMBULATORY SURGERY CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
242 E ROMIE LN
SALINAS CA
93901-3128
US
IV. Provider business mailing address
242 E ROMIE LN
SALINAS CA
93901-3128
US
V. Phone/Fax
- Phone: 831-758-2746
- Fax: 831-758-3834
- Phone: 831-758-2746
- Fax: 831-758-3834
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 05-1045 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
MATTHEW
L
ROMANS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 831-758-2746