# EYE CENTER OF NORTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE CENTER OF NORTHERN CALIFORNIA
- **Other names:** Ellis Eye & Laser Medical Cnter
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083874648
- **Legal business name:** EYE CENTER OF NORTHERN CALIFORNIA
- **Authorized official:** DR. WILLIAM ELLIS M.D. (DIRECTOR/OWNER)
- **Authorized official phone:** (510) 525-2600

## Contact information

- **Practice address:** 6500 FAIRMOUNT AVE, EL CERRITO, CA 94530-3667
- **Practice address phone:** (510) 525-2600
- **Practice address fax:** (510) 524-1887
- **Mailing address:** 6500 FAIRMOUNT AVE, EL CERRITO, CA 94530-3667
- **Mailing address phone:** (510) 525-2600
- **Mailing address fax:** (510) 524-1887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 140000382 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008