Healthcare Provider Details

I. General information

NPI: 1386604197
Provider Name (Legal Business Name): SALINAS SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 BLANCO CIR
SALINAS CA
93901-4452
US

IV. Provider business mailing address

955 BLANCO CIR
SALINAS CA
93901-4452
US

V. Phone/Fax

Practice location:
  • Phone: 831-753-5800
  • Fax: 831-753-5808
Mailing address:
  • Phone: 831-753-5800
  • Fax: 831-753-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number070000345
License Number StateCA

VIII. Authorized Official

Name: CHRISTINE S GALLAGHER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 831-753-5800