Organization · Type 2 NPI
Modesto Specialty Surgery Center, PC
Ambulatory Surgical Clinic/Center · Modesto, CA
NPI number
1265859573
Active
Practice location
3105 Mchenry Ave # 102
Modesto, CA 95350-1439
Fax (424) 369-9555
Mailing address
PO Box 16297
Beverly Hills, CA 90209-2297
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 1265859573
Modesto Specialty Surgery Center, PC's National Provider Identifier is 1265859573, issued on Mar 25, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Modesto, CA. The record was last updated on Aug 25, 2026.