Organization
ELITE SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSRAT KHAJAVI M.D. (PRESIDENT/ SOLE OWNER)
(510) 556-1000
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE, STE.#401, FREMONT, CA 94538-1730
(510) 556-1000
(510) 878-4444
Mailing address
19197 GOLDEN VALLEY RD, ST.#444, CANYON COUNTRY, CA 91387-1428
(510) 556-1000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
01/07/2015
Last updated
05/22/2015
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