# CENTER FOR REGENERATIVE SURGERY

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

## Provider details

- **NPI number:** 1912441130
- **Authorized official:** DR. NOAH WEISS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (707) 935-5600

## Contact information

- **Practice address:** 1599 TARA HILLS DR, PINOLE, CA 94564-2519
- **Practice address phone:** (510) 815-9370
- **Practice address fax:** (510) 298-5627
- **Mailing address:** 1599 TARA HILLS DR, PINOLE, CA 94564-2519
- **Mailing address phone:** (510) 815-9370
- **Mailing address fax:** (510) 298-5627

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2016
- **Last updated:** 12/06/2016