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1265859573
MODESTO SPECIALTY SURGERY CENTER, PC
MODESTO, CA
NPI
1265859573
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Entity Type
Organization
Authorized Contact
DANIEL P TAHERI
Owner
310-922-1412
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2014-03-25
Last Update Date
2020-08-07
Business Address
MODESTO SPECIALTY SURGERY CENTER, PC
3105 MCHENRY AVE
MODESTO, CA 95350-1439
Phone number: 800-991-6448
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Mailing Address
MODESTO SPECIALTY SURGERY CENTER, PC
PO BOX 16297
BEVERLY HILLS, CA 90209-2297
Phone number: 800-991-6448
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