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:

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

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin