EAST BAY SPECIAL SURGERY LLC NPI 1518106996

NPI Information

NPI: 1518106996
Provider Name: EAST BAY SPECIAL SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
80 GRAND AVE
SUITE 100
OAKLAND, CA
ZIP 94612
Phone: (510) 587-0650
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EAST BAY SPECIAL SURGERY LLC is an ambulatory surgical clinic center in Oakland, CA. EAST BAY SPECIAL SURGERY LLC NPI is 1518106996. The provider is registered as an organization entity type.

The provider's business location address is:

80 GRAND AVE
SUITE 100
OAKLAND, CA
ZIP 94612-725
Phone: (510) 587-0650

The provider's authorized official is Glen K Lau .
The authorized official title is Managing Partner and has the following contact phone number (510) 451-6950.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/10/2009.

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		CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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