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NPI Code Detail

MEDICARE: ORCHARD CREEK SURGERY CENTER

MEDICARE: ORCHARD CREEK SURGERY CENTER
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
1261QA1903XAmbulatory Surgical Clinic/CenterG81771CA

General Provider Information

NPI Number : 1528261195
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORCHARD CREEK SURGERY CENTER
Provider Business Mailing Address
First Line : 301 HIGH ST
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-1043
Country : US
Telephone Number : 650-969-5600
Fax Number : 650-969-0360
Provider Business Practice Location Address
First Line : 525 SOUTH DR STE 115
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4211
Country : US
Telephone Number : 650-969-5600
Fax Number : 650-969-0360
Authorized Official
Title or Position : PRESIDENT
Name : GREG MORGANROTH
Credential : MD
Telephone Number : 650-969-5600
Provider Enumeration Date : 06/08/2007
Last Update Date : 03/21/2025

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Directions to “ORCHARD CREEK SURGERY CENTER ” Practice Location

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