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NPI Code Detail

MEDICARE: ASPEN SURGERY CENTER, LLC

MEDICARE: ASPEN SURGERY CENTER, LLC
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/Center

General Provider Information

NPI Number : 1710177795
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPEN SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 133 LA CASA VIA
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598
Country : US
Telephone Number : 925-947-3282
Fax Number : 925-947-3258
Provider Business Practice Location Address
First Line : 133 LA CASA VIA STE 150
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3005
Country : US
Telephone Number : 925-210-8400
Fax Number : 925-947-3258
Authorized Official
Title or Position : OFFICER AND AUTHORIZED OFFICIAL
Name : JENNIFER BOYD BALDOCK
Credential :
Telephone Number : 615-234-5954
Provider Enumeration Date : 07/26/2007
Last Update Date : 02/23/2023

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Directions to “ASPEN SURGERY CENTER, LLC ” Practice Location

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