Organization · Type 2 NPI
Pavilion Surgical Services LLC
Ambulatory Surgical Clinic/Center · Ukiah, CA
NPI number
1790969301
Active
Practice location
245 Hospital Dr., 100
Ukiah, CA 95482
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 1790969301
Pavilion Surgical Services LLC's National Provider Identifier is 1790969301, issued on Dec 19, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Ukiah, CA. The record was last updated on Feb 9, 2009.