# SOAR SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1790005304
- **Authorized official:** DR. MICHAEL F. DILLINGHAM MD (GENERAL MANAGING PARTNER)
- **Authorized official phone:** (650) 539-6000

## Contact information

- **Practice address:** 1849 BAYSHORE HWY, BURLINGAME, CA 94010-1215
- **Practice address phone:** (650) 539-6000
- **Practice address fax:** (650) 539-6001
- **Mailing address:** 1849 BAYSHORE HWY, BURLINGAME, CA 94010-1215
- **Mailing address phone:** (650) 539-6000
- **Mailing address fax:** (650) 539-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 12/02/2016
