PS
PHYSICIANS SURGERY CENTER OF MODESTO LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MODESTO, CA
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1538280284
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients166
RevalidationDue 2024-02-29
Authorized official
NameERIC BOON
TitleMARKET PRESIDENT
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