ADVANCED SURGICAL GROUP, INC.; NPI #1073908604

Contact Information

ADVANCED SURGICAL GROUP, INC.

2160 SUNSET BLVD
SUITE 502
ROCKLIN, CA 95765-4790

Phone: 916-258-7250
Fax: 916-787-5401
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANCED SURGICAL GROUP, INC.

NPI #	`1073908604`
LBN Legal business name	ADVANCED SURGICAL GROUP, INC.
Authorized official	KAYVAN HADDADAN - (PRESIDENT & CHARIMAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/31/2015
Last updated	09/14/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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