Canyon Pinole Surgery Center, LP
NPI #1497791040 in Pinole, California
Provider Information
- NPI Number
- 1497791040
- Entity Type
- Organization
- Organization Name
- Canyon Pinole Surgery Center, LP
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 1700 SAN PABLO AVE
- Address 2
- STE. D
- City
- Pinole
- State
- California
- ZIP Code
- 94564-2068
- Phone
- (510) 724-9500
Authorized Official
- Name
- DAVID PARK
- Title
- ADMINISTRATOR
- Phone
- (510) 724-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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