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SOAR SURGERY CENTER LLC NPI 1790005304


NPI Information

NPI: 1790005304
Provider Name: SOAR SURGERY CENTER, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D2016337

Address:
1849 BAYSHORE HWY
BURLINGAME, CA
ZIP 94010
Phone: (650) 539-6000
Get Directions

SOAR SURGERY CENTER, LLC is an orthopaedic surgery in Burlingame, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SOAR SURGERY CENTER, LLC NPI is 1790005304. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1849 BAYSHORE HWY
BURLINGAME, CA
ZIP 94010-215
Phone: (650) 539-6000
Fax: (650) 539-6001

The provider's authorized official is Michael F. Dillingham .
The authorized official title is General Managing Partner and has the following contact phone number (650) 539-6000.

The CLIA number assigned to this NPI record is 05D2016337 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 12/2/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes
22086S0105XSurgerySurgery of the HandNo
3213E00000XPodiatristNo
4261QA1903XClinic/CenterAmbulatory SurgicalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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