# RIVERWOODS SURGERY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RIVERWOODS SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295133023
- **Authorized official:** CAROLINA DELA PAVA (VICE-PRESIDENT)
- **Authorized official phone:** (801) 613-1032

## Contact information

- **Practice address:** 956 SACRAMENTO ST APT 503, SAN FRANCISCO, CA 94108-2041
- **Practice address phone:** (801) 613-1032
- **Mailing address:** 956 SACRAMENTO ST APT 503, SAN FRANCISCO, CA 94108-2041
- **Mailing address phone:** (801) 613-1032

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014