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Organization
GOLDEN GATE SURGERY CENTER LLC
Active
Organization
GOLDEN GATE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS COLYVAS M.D. (MEDICAL DIRECTOR)
(415) 409-1367
Entity
Organization
Contact information
Practice address
450 SUTTER ST, 5TH FL, SAN FRANCISCO, CA 94108-4206
(415) 409-1367
(415) 896-4922
Mailing address
490 POST ST, STE 900, SAN FRANCISCO, CA 94102-1401
(415) 409-1367
(415) 896-4922
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A050788
CA
Other
Enumeration date
08/25/2016
Last updated
02/23/2017
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