O'CONNOR BUILDING SURGERY CENTER LLC NPI 1023370251

NPI Information

NPI: 1023370251
Provider Name: O'CONNOR BUILDING SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2048409

Address:
125 CIRO AVE
SUITE 110
SAN JOSE, CA
ZIP 95128
Phone: (408) 761-5847
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O'CONNOR BUILDING SURGERY CENTER LLC is an ambulatory surgical clinic center in San Jose, CA. O'CONNOR BUILDING SURGERY CENTER LLC NPI is 1023370251. The provider is registered as an organization entity type.

The provider's business location address is:

125 CIRO AVE
SUITE 110
SAN JOSE, CA
ZIP 95128-671
Phone: (408) 761-5847
Fax: (408) 988-0112

The provider's authorized official is Barbara Lee Roth .
The authorized official title is Regional Director and has the following contact phone number (408) 761-5847.

The CLIA number assigned to this NPI record is 05D2048409 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2012 and was last updated on 6/13/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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