EL DORADO SURGERY CENTER, INC.
Surgery Yellow Pages
Placerville, California
Provider NPI: 1508861881
Organization Information:Organization Name: EL DORADO SURGERY CENTER, INC.
Practice Location:
4300 GOLDEN CENTER DR STE E PLACERVILLE, CA 95667 US
Tel: 530-344-1687 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4300 GOLDEN CENTER DR STE E PLACERVILLE, CA 95667 US
Tel: 530-344-1687 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 030000767 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CCS # | CGP171564 | CA | 01 |
BLUE SHIELD # | ZZZH09022 | CA | 01 |
RAILROAD # | 490005585 | CA | 01 |
DEPT OF LABOR # | 354098600 | CA | 01 |
BLUE CROSS # | AS1560 | CA | 01 |
SUR01560F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin