# EAST BAY SPECIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518106996
- **Authorized official:** DR. GLEN K LAU M.D. (MANAGING PARTNER)
- **Authorized official phone:** (510) 451-6950

## Contact information

- **Practice address:** 80 GRAND AVE, SUITE 100, OAKLAND, CA 94612-3725
- **Practice address phone:** (510) 587-0650
- **Mailing address:** 80 GRAND AVE, SUITE 100, OAKLAND, CA 94612-3725

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/10/2009