ARROYO GRANDE SURGICAL INSTITUTE LLC NPI 1659941151

NPI Information

NPI: 1659941151
Provider Name: ARROYO GRANDE SURGICAL INSTITUTE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2243157

Address:
860 OAK PARK BLVD STE 102
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 458-8661
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ARROYO GRANDE SURGICAL INSTITUTE, LLC is an ambulatory surgical clinic center in Arroyo Grande, CA. ARROYO GRANDE SURGICAL INSTITUTE, LLC NPI is 1659941151. The provider is registered as an organization entity type.

The provider's business location address is:

860 OAK PARK BLVD STE 102
ARROYO GRANDE, CA
ZIP 93420-800
Phone: (805) 458-8661

The provider's authorized official is Thomas Ferro .
The authorized official title is Owner and has the following contact phone number (805) 202-3304.

The CLIA number assigned to this NPI record is 05D2243157 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 6/28/2021.

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: 11/14/2023

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