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Bay Area Surgical Group, INC.

Clinic/Center, Ambulatory Surgical in Santa Clara, CA. Organization (NPI-2).

NPI number1710060751
StatusActive
Last updated in NPPESApr 21, 2016

Details

NPI
1710060751
Entity type
Organization (NPI-2)
Legal business name
Bay Area Surgical Group, INC.
Organization subpart
No
Enumeration date
Oct 23, 2006
Last updated
Apr 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical550000076CAYes

Practice location

2222 Lafayette St
Santa Clara, CA 95050-2904

Phone 408-988-0105 · Fax 408-988-0112

Mailing address

2222 Lafayette St
Santa Clara, CA 95050-2904

Phone 408-988-0105 · Fax 408-988-0112

Authorized official

Megan Nga Nguyen
Administrator
4089880105

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