Organization
GALILEO SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS I PILCH MD (MANAGING PARTNER)
(805) 597-8370
Entity
Organization
Contact information
Practice address
1001 E FOOTHILL BLVD, SAN LUIS OBISPO, CA 93405-1815
(805) 782-8222
(805) 782-8220
Mailing address
PO BOX 5458, SAN LUIS OBISPO, CA 93403-5458
(805) 786-4878
(805) 597-8350
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05C0001448
—
CA
01
—
CB235712
MEDICARE PTAN
CA
01
—
S051448
MEDICARE PTAN
CA
Enumeration date
05/23/2005
Last updated
07/06/2022
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