# SURGICAL INTERVENTIONS LLC

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

## Provider details

- **NPI number:** 1992529705
- **Authorized official:** DR. MICHAEL DAVID INGEGNO MD (MBR)
- **Authorized official phone:** (510) 599-7750

## Contact information

- **Practice address:** 13851 E 14TH ST STE 202, SAN LEANDRO, CA 94578-2627
- **Practice address phone:** (510) 357-4006
- **Mailing address:** 13851 E 14TH ST STE 202, SAN LEANDRO, CA 94578-2627
- **Mailing address phone:** (510) 357-4006

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2024
- **Last updated:** 11/11/2024