# PACIFIC SPECIALIST SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hayes Valley Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508144007
- **Authorized official:** DR. EDWARD MIRANDA MD (MANAGER)
- **Authorized official phone:** (415) 379-9015

## Contact information

- **Practice address:** 77 VAN NESS AVE, \#301, SAN FRANCISCO, CA 94102-6041
- **Practice address phone:** (415) 821-8015
- **Practice address fax:** (415) 379-9045
- **Mailing address:** 77 VAN NESS AVE, \#301, SAN FRANCISCO, CA 94102-6041
- **Mailing address phone:** (415) 821-8015
- **Mailing address fax:** (415) 379-9045

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 05/30/2012