NPI Registry.org

Palm Bluffs Surgery Center Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
PALM BLUFFS SURGERY CENTER LLC13166745182022-08-10

The organization Palm Bluffs Surgery Center Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1316674518. Registration indicates Palm Bluffs Surgery Center Llc is a provider of services with a specialization in Ambulatory Surgical (Clinic/Center) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Ambulatory Surgical, ) (Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities, ) (Clinic/Center Ambulatory Surgical, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationPALM BLUFFS SURGERY CENTER LLC
Practice Office Address7766 N PALM AVE # 104
FRESNO, CA US
Practice Office Telephone5594395300
Mailing Address1900 SHAW AVE STE 101
CLOVIS, CA 936114209 US
Business Telephone5594395300
Authorized OfficialJORDAN DAVID PRIETO, OWNER
5599060209
Offices / Locations
AddressCity / StatePhone / Fax
7766 N Palm Ave Ste 105 Fresno, CA 937115734 5594395300
HPT Codes
CodePractice
License No
State
261QA1903X PRIMARY
Ambulatory Surgical (Clinic/Center),

Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Ambulatory Surgical

Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities

Clinic/Center Ambulatory Surgical
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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