Organization
CANYON PINOLE SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARK (ADMINISTRATOR)
(510) 724-9500
Entity
Organization
Contact information
Practice address
1700 SAN PABLO AVE, STE. D, PINOLE, CA 94564-2068
(510) 724-9500
(510) 724-9511
Mailing address
1700 SAN PABLO AVE STE D, PINOLE, CA 94564-2082
(510) 724-9500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
09/08/2022
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