Creekside Surgery Suite

LBN: Creekside Surgery Suite
Creekside Surgery Suite is an health care organization with primary practice located at 1561 Creekside Dr Suite 110, Folsom CA 95630-3492. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Creekside Surgery Suite can be contacted via phone (916) 984-1600, or through Mabourakh, Shahriar via phone (916) 984-1600.

Contact Information

Primary practice address
1561 Creekside Dr Suite 110 Folsom CA 95630-3492
Phone: (916) 984-1600
Fax: (916) 984-1616
Website:
Map and Directions
Authorized official contact:
Name: Mabourakh, Shahriar Doctor of Medicine (MD)
Phone: (916) 984-1600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 10176 California

Profile Details

NPI number 1326374844
LBN Legal business name Creekside Surgery Suite
DBA Doing business as
Authorized official Mabourakh, Shahriar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2009
Last updated Oct 19th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326374844 NPPES
California Other 10176 IMQ IDENTIFICATION NUMBER

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