The Reservoir Physicans Surgery Center, Llc in San Diego - Ambulatory Surgical

The Reservoir Physicans Surgery Center, Llc - NPI 1578729539

The Reservoir Physicans Surgery Center, Llc is a Ambulatory Surgical in San Diego, California. The Reservoir Physicans Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for The Reservoir Physicans Surgery Center, Llc is 1578729539. The last update date is 2008-07-30.

The Reservoir Physicans Surgery Center, Llc's current location address is 6716 Alvarado Rd, San Diego, California. You can contact this provider via phone number 6192873270. The mailing address for The Reservoir Physicans Surgery Center, Llc is 6716 Alvarado Rd, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Reservoir Physicans Surgery Center, Llc
Address 6716 Alvarado Rd, San Diego, California
Phone Number 6192873270
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Koenig Harris
Credentials MD
Telephone Number 6192873270

NPI Number Detail

NPI Number 1578729539
Provider Enumeration Date 2008-07-30
Last Updated Date 2008-07-30

Provider Mailing Address Detail

Address 6716 Alvarado Rd
City San Diego
State California (CA)
Post Code 92120
Phone Number 6192873270
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about The Reservoir Physicans Surgery Center, Llc

What is the The Reservoir Physicans Surgery Center, Llc's 1578729539?

The The Reservoir Physicans Surgery Center, Llc's NPI (National Provider Identifier) Number is 1578729539. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where The Reservoir Physicans Surgery Center, Llc is physically located?

The The Reservoir Physicans Surgery Center, Llc is situated at the following address: 6716 Alvarado Rd, San Diego, CA 92120.

What is The Reservoir Physicans Surgery Center, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for The Reservoir Physicans Surgery Center, Llc is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578729539 to The Reservoir Physicans Surgery Center, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1578729539 to The Reservoir Physicans Surgery Center, Llc on 2008-07-30.

As of what date was the information pertaining to The Reservoir Physicans Surgery Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to The Reservoir Physicans Surgery Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-30.

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