# PREMIER ORTHOPEDIC SURGEON HOSPITALISTS

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

## Provider details

- **NPI number:** 1790069235
- **Authorized official:** DR. ALBERTO BOLANOS M.D. (PRESIDENT)
- **Authorized official phone:** (650) 991-5880

## Contact information

- **Practice address:** 1900 SULLIVAN AVE, ATTN: PAMELA DAVIS, DALY CITY, CA 94015-2200
- **Practice address phone:** (650) 991-5819
- **Practice address fax:** (650) 991-6743
- **Mailing address:** 1850 SULLIVAN AVE, \#150, DALY CITY, CA 94015-2221
- **Mailing address phone:** (650) 991-5880
- **Mailing address fax:** (650) 991-5889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011