PRESIDIO SURGERY CENTER LLC NPI 1609826361

NPI Information

NPI: 1609826361
Provider Name: PRESIDIO SURGERY CENTER, LLC

Doing Business As: PRESIDIO SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1635 DIVISADERO ST
SUITE 200
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 346-1218
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PRESIDIO SURGERY CENTER, LLC is an ambulatory surgical clinic center in San Francisco, CA. PRESIDIO SURGERY CENTER, LLC NPI is 1609826361. The provider is registered as an organization entity type.
The provider Is Doing Business As Presidio Surgery Center.

The provider's business location address is:

1635 DIVISADERO ST
SUITE 200
SAN FRANCISCO, CA
ZIP 94115-036
Phone: (415) 346-1218

The provider's authorized official is Jessie Scott .
The authorized official title is Manager and has the following contact phone number (415) 600-1484.

The CLIA number assigned to this NPI record is 05D2110299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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	TBD	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: 5/5/2024

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