Organization
TARG SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER GARY TARG M.D. (OWNER)
(650) 814-3025
Entity
Organization
Contact information
Practice address
800 E GREENWICH PL, PALO ALTO, CA 94303-3416
(650) 814-3025
(650) 856-7909
Mailing address
800 E GREENWICH PL, PALO ALTO, CA 94303-3416
(650) 814-3025
(650) 856-7909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FNP32185
CA
261QA1903X
Ambulatory Surgical Clinic/Center
MGA56
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP32185
MEDICAL BOARD OF CA FICTITIOUS NAME PERMIT
CA
01
—
MGA56
DENTAL BOARD OF CA GENERAL ANESTHESIA PERMIT
CA
Enumeration date
05/09/2016
Last updated
05/09/2016
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