Crystal Springs Surgical Associates, A Medical Group, INC.
Surgery in San Mateo, CA. Organization (NPI-2).
NPI number1376631762
StatusActive
Last updated in NPPESJul 23, 2007
Details
- NPI
- 1376631762
- Entity type
- Organization (NPI-2)
- Legal business name
- Crystal Springs Surgical Associates, A Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | G079786 | CA | Yes |
Practice location
101 S San Mateo DrSuite 302
San Mateo, CA 94401-3819
Phone 650-685-2959
Mailing address
101 S San Mateo DrSuite 302
San Mateo, CA 94401-3819
Phone 650-685-2959
Authorized official
John J Feng
President/Owner
6506852959
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