SURGERY CENTER OF OAKLAND LP NPI 1972114171

NPI Information

NPI: 1972114171
Provider Name: SURGERY CENTER OF OAKLAND LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2211393

Address:
80 GRAND AVE STE M-1
OAKLAND, CA
ZIP 94612
Phone: (510) 295-0439
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SURGERY CENTER OF OAKLAND LP is an ambulatory surgical clinic center in Oakland, CA. SURGERY CENTER OF OAKLAND LP NPI is 1972114171. The provider is registered as an organization entity type.

The provider's business location address is:

80 GRAND AVE STE M-1
OAKLAND, CA
ZIP 94612-725
Phone: (510) 295-0439

The provider's authorized official is David Odell .
The authorized official title is Authorized Official and has the following contact phone number (888) 282-7472.

The CLIA number assigned to this NPI record is 05D2211393 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 11/24/2020.

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

NPI Synchronization or Removal

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