SURGICAL SPECIALTIES LLC NPI 1134499650

NPI Information

NPI: 1134499650
Provider Name: SURGICAL SPECIALTIES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 12D2107445

Address:
1329 LUSITANA ST
SUITE 401
HONOLULU, HI
ZIP 96813
Phone: (808) 599-7779
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SURGICAL SPECIALTIES, LLC is an ambulatory surgical clinic center in Honolulu, HI. SURGICAL SPECIALTIES, LLC NPI is 1134499650. The provider is registered as an organization entity type.

The provider's business location address is:

1329 LUSITANA ST
SUITE 401
HONOLULU, HI
ZIP 96813-429
Phone: (808) 599-7779
Fax: (808) 599-7780

The provider's authorized official is Garry B Peers .
The authorized official title is Medical Director and has the following contact phone number (808) 599-7779.

The CLIA number assigned to this NPI record is 12D2107445 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2012 and was last updated on 9/28/2015.

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	FSOF22	HAWAII	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

NPI Synchronization or Removal

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