COFFEE SURGERY CENTER LLC NPI 1457643405

NPI Information

  • NPI: 1457643405
  • Provider Name: COFFEE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ALL KIDS DENTAL SURGERY CENTER
  • CLIA Number: 05D2043114
  • Address: 2525 EYE ST
    SUITE 100
    BAKERSFIELD, CA
    ZIP 93301
  • Phone: (209) 338-8368

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NPI Details

COFFEE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bakersfield, CA. COFFEE SURGERY CENTER, LLC NPI is 1457643405. The provider is registered as an organization entity type.
The provider Is Doing Business As All Kids Dental Surgery Center.

The provider's business location address is:

2525 EYE ST
SUITE 100
BAKERSFIELD, CA
ZIP 93301-064
Phone: (209) 338-8368

The provider's authorized official is Vickie A. Kasprzyk .
The authorized official title is President and has the following contact phone number (209) 338-8368.

The CLIA number assigned to this NPI record is 05D2043114 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 2/8/2012.

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
1261QD0000XClinic/CenterDentalPENDINGNo
2261QA1903XClinic/CenterAmbulatory SurgicalPENDINGYes

What is NPI?

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This page was last updated on: 11/21/2025

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