PACIFIC SPECIALIST SURGICAL CENTER LLC NPI 1508144007

NPI Information

PACIFIC SPECIALIST SURGICAL CENTER LLC is an ambulatory surgical clinic center in San Francisco, CA. PACIFIC SPECIALIST SURGICAL CENTER LLC NPI is 1508144007. The provider is registered as an organization entity type.
The provider Is Doing Business As Hayes Valley Surgery Center.

The provider's business location address is:

77 VAN NESS AVE
#301
SAN FRANCISCO, CA
ZIP 94102-041
Phone: (415) 821-8015
Fax: (415) 379-9045

The provider's authorized official is Edward Miranda .
The authorized official title is Manager and has the following contact phone number (415) 379-9015.

The CLIA number assigned to this NPI record is 05D2035393 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2011 and was last updated on 5/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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