Coffee Road Surgery Center, LLC
Coffee Road Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Modesto, California. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1335 Coffee Rd Ste 201Modesto, CA 95355-3192
Phone: (209) 492-0483
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1134947328 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Boon — Officer/Ao · (480) 567-0269 |
| NPI enumerated | September 27, 2024 |
| Last updated in NPPES | May 8, 2026 |
| Certification date | May 8, 2026 |
| Mailing address | 1335 Coffee Rd Ste 201, Modesto, CA 95355-3192 |
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