Organization · Type 2 NPI
Granite Bay Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Roseville, CA
NPI number
1245774611
Active
Practice location
8723 Sierra College Blvd #1
Roseville, CA 95661
Mailing address
8723 Sierra College Blvd. Building 1.
Granite Bay, CA 95746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1245774611
Granite Bay Surgery Center, LLC's National Provider Identifier is 1245774611, issued on Dec 5, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Roseville, CA. The record was last updated on Aug 28, 2018.