institution
Sebastopol Asc, L.p.
Ambulatory Surgical Clinic/Center in Sebastopol, California
NPI 1154440972

Sebastopol Asc, L.p. is an Ambulatory Surgical Clinic/Center based in Sebastopol, CA and is specialized in Ambulatory Surgical. Sebastopol Asc, L.p. practices in Sebastopol, CA. The NPI Number for Sebastopol Asc, L.p. is 1154440972 and holds a License No. 010000189 (California).

The current practice location address for Sebastopol Asc, L.p. is 6880 Palm Ave, Sebastopol, CA and can be reached out via phone at 707-823-7628 and via fax at 707-823-1521.

Location: 6880 Palm Ave, Sebastopol, CA, 95472-4270
institution
Provider Profile Details
NPI Number
1154440972
Provider Name
Sebastopol Asc, L.p.
Credential
Provider Entity Type
Organization
Address
6880 Palm Ave, Sebastopol, CA, 95472-4270
Phone Number
707-823-7628
Fax Number
707-823-1521
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SUR51098F 05 CA
551098 01 CA BLUE CROSS
1154440972 01 MEDICARE NPI
490002015 01 CA MEDICARE RET RAILROAD
ZZZH4909Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6880 Palm Ave
City
State
Zip
95472-4270
Phone Number
707-823-7628
Fax Number
707-823-1521
person
Provider Business Mailing Address Details
Address
6880 Palm Ave
City
State
Zip
95472-4270
Phone Number
707-823-7628
Fax Number
707-823-1521
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
010000189 (California)
Definition
Definition to come...
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