Sierra Vista Medical Pavilion Ambulatory Surgery Suite in San Luis Obispo - Ambulatory Surgical
Sierra Vista Medical Pavilion Ambulatory Surgery Suite - NPI 1952443046
Sierra Vista Medical Pavilion Ambulatory Surgery Suite is a Ambulatory Surgical in San Luis Obispo, California. Sierra Vista Medical Pavilion Ambulatory Surgery Suite practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Sierra Vista Medical Pavilion Ambulatory Surgery Suite is 1952443046. The last update date is 2008-06-24.
Sierra Vista Medical Pavilion Ambulatory Surgery Suite's current location address is 77 Casa Street, San Luis Obispo, California. You can contact this provider via phone number 8055446471 and fax number 8055444913. The mailing address for Sierra Vista Medical Pavilion Ambulatory Surgery Suite is 77 Casa Street, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sierra Vista Medical Pavilion Ambulatory Surgery Suite |
|---|---|
| Address | 77 Casa Street, San Luis Obispo, California |
| Phone Number | 8055446471 |
| Fax Number | 8055444913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Thornton James |
| Credentials | MD |
| Telephone Number | 8055446471 |
NPI Number Detail
| NPI Number | 1952443046 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 77 Casa Street |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 93405 |
| Phone Number | 8055446471 |
| Fax Number | 8055444913 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | G42294 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750380374 | CA | NPI NUMBER |
Post Comment/ Review Below
What is the Sierra Vista Medical Pavilion Ambulatory Surgery Suite's 1952443046?
The Sierra Vista Medical Pavilion Ambulatory Surgery Suite's NPI (National Provider Identifier) Number is 1952443046. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sierra Vista Medical Pavilion Ambulatory Surgery Suite?
The Sierra Vista Medical Pavilion Ambulatory Surgery Suite is physically situated at 77 Casa Street, in the city of San Luis Obispo, state of CA, with the postal code 93405.
What is Sierra Vista Medical Pavilion Ambulatory Surgery Suite's area of expertise and its corresponding taxonomy classification?
The Sierra Vista Medical Pavilion Ambulatory Surgery Suite's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952443046 to Sierra Vista Medical Pavilion Ambulatory Surgery Suite?
The Centers for Medicare & Medicaid Services originally issued the 1952443046 to Sierra Vista Medical Pavilion Ambulatory Surgery Suite on 2007-02-13.
As of what date were the Sierra Vista Medical Pavilion Ambulatory Surgery Suite's details last updated?
The information pertaining to the Sierra Vista Medical Pavilion Ambulatory Surgery Suite, including its address, specialty, and other details, was most recently updated on 2008-06-24.