Eel River Valley Surgical Group in Fortuna - Surgery
Eel River Valley Surgical Group - NPI 1033262381
Eel River Valley Surgical Group is a Surgery in Fortuna, California. Eel River Valley Surgical Group practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eel River Valley Surgical Group is 1033262381. The last update date is 2020-08-22.
Eel River Valley Surgical Group's current location address is 3301 Renner Dr, Fortuna, California. You can contact this provider via phone number 7077259301 and fax number 7077256099. The mailing address for Eel River Valley Surgical Group is 3301 Renner Dr, Fortuna, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eel River Valley Surgical Group |
|---|---|
| Address | 3301 Renner Dr, Fortuna, California |
| Phone Number | 7077259301 |
| Fax Number | 7077256099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hassapis T John |
| Credentials | MD |
| Telephone Number | 7077259301 |
NPI Number Detail
| NPI Number | 1033262381 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3301 Renner Dr |
|---|---|
| City | Fortuna |
| State | California (CA) |
| Post Code | 955403119 |
| Phone Number | 7077259301 |
| Fax Number | 7077256099 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0082870 | CA | -- | |
| ZZZ56802Z | CA | BLUE SHIELD GROUP ID |
Post Comment/ Review Below
What is the unique identification code assigned to Eel River Valley Surgical Group by the Centers for Medicare & Medicaid Services?
The Eel River Valley Surgical Group has been issued the NPI (National Provider Identifier) 1033262381. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Eel River Valley Surgical Group is located?
The Eel River Valley Surgical Group is situated at the following address: 3301 Renner Dr, Fortuna, CA, 955403119.
What is Eel River Valley Surgical Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eel River Valley Surgical Group is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033262381 to Eel River Valley Surgical Group?
The Eel River Valley Surgical Group received its 1033262381 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the Eel River Valley Surgical Group's details last updated?
The information pertaining to the Eel River Valley Surgical Group, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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