Provider Demographics
NPI:1306952908
Name:LAS VENTANAS SURGERY CENTER
Entity type:Organization
Organization Name:LAS VENTANAS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:831-775-0265
Mailing Address - Street 1:15 RYAN CT
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7866
Mailing Address - Country:US
Mailing Address - Phone:183-775-0265
Mailing Address - Fax:831-775-0270
Practice Address - Street 1:15 RYAN CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7866
Practice Address - Country:US
Practice Address - Phone:183-775-0265
Practice Address - Fax:831-775-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000682261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical