Organization
PREMIER ORTHOPEDIC SURGEON HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO BOLANOS M.D. (PRESIDENT)
(650) 991-5880
Entity
Organization
Contact information
Practice address
1900 SULLIVAN AVE, ATTN: PAMELA DAVIS, DALY CITY, CA 94015-2200
(650) 991-5819
(650) 991-6743
Mailing address
1850 SULLIVAN AVE, #150, DALY CITY, CA 94015-2221
(650) 991-5880
(650) 991-5889
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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