Healthcare Provider Details

I. General information

NPI: 1790936847
Provider Name (Legal Business Name): RSC SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARK PLACE SUITE 200
SAN RAMON CA
94583
US

IV. Provider business mailing address

100 PARK PLACE SUITE 200
SAN RAMON CA
94583
US

V. Phone/Fax

Practice location:
  • Phone: 925-973-1800
  • Fax: 925-973-5064
Mailing address:
  • Phone: 925-973-1800
  • Fax: 925-973-5064

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: KIRSTIN RUNA
Title or Position: EXECUTIVE VICE PRESIDENT OF OPERATI
Credential:
Phone: 720-810-0707