Organization
PACIFIC SPECIALIST SURGICAL CENTER LLC
Active
Other names
Hayes Valley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MIRANDA MD (MANAGER)
(415) 379-9015
Entity
Organization
Contact information
Practice address
77 VAN NESS AVE, #301, SAN FRANCISCO, CA 94102-6041
(415) 821-8015
(415) 379-9045
Mailing address
77 VAN NESS AVE, #301, SAN FRANCISCO, CA 94102-6041
(415) 821-8015
(415) 379-9045
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
05/30/2012
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