Organization
SURGICAL ASSIST OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LEER (OFFICE MANAGER)
(925) 362-0695
Entity
Organization
Contact information
Practice address
53 SAINT MARK CT, DANVILLE, CA 94526-5326
(925) 362-0695
(925) 362-0695
Mailing address
PO BOX 320896, LOS GATOS, CA 95032-0114
(925) 362-0695
(925) 362-0695
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A065099
CA
208600000X
Surgery Physician
Primary
A82314
CA
363AS0400X
Surgical Physician Assistant
OPA16571
CA
Other
Enumeration date
06/28/2011
Last updated
12/07/2012
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