MEDICARE: IQ SURGICAL ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician
2	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1093115735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IQ SURGICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	107 N HALL ST STE A
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-5850
Country	:	US
Telephone Number	:	559-302-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 N HALL ST STE A
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-5850
Country	:	US
Telephone Number	:	559-302-5600
Fax Number	:

Authorized Official
Title or Position	:	CFO/SECRETARY
Name	:	SEBASTIANO CASSARO
Credential	:	MD
Telephone Number	:	559-302-5600

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	02/25/2026

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Directions to “IQ SURGICAL ASSOCIATES INC ” Practice Location

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