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481 ASC PROJECT LLC NPI 1447301593


NPI Information

NPI: 1447301593
Provider Name: 481 ASC PROJECT LLC

Doing Business As: EYE MD LASER & SURGERY CENTER LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2004447

Address:
481 30TH ST
OAKLAND, CA
ZIP 94609
Phone: (510) 835-4521
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481 ASC PROJECT LLC is an ambulatory surgical clinic center in Oakland, CA. 481 ASC PROJECT LLC NPI is 1447301593. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Md Laser & Surgery Center Llc.

The provider's business location address is:

481 30TH ST
OAKLAND, CA
ZIP 94609-209
Phone: (510) 835-4521
Fax: (510) 835-4223

The provider's authorized official is Richard H. Lee .
The authorized official title is Medical Director and has the following contact phone number (510) 835-4521.

The CLIA number assigned to this NPI record is 05D2004447 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/9/2013.


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
1261QA1903XClinic/CenterAmbulatory Surgical140000588CALIFORNIAYes

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: 11/14/2023

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