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Organization

EAST BAY SPECIAL SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN K LAU M.D. (MANAGING PARTNER)
(510) 451-6950
Entity
Organization

Contact information

Practice address
80 GRAND AVE, SUITE 100, OAKLAND, CA 94612-3725
(510) 587-0650
Mailing address
80 GRAND AVE, SUITE 100, OAKLAND, CA 94612-3725

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Enumeration date
02/09/2009
Last updated
02/10/2009
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