Organization
SURGICAL INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID INGEGNO MD (MBR)
(510) 599-7750
Entity
Organization
Contact information
Practice address
13851 E 14TH ST STE 202, SAN LEANDRO, CA 94578-2627
(510) 357-4006
Mailing address
13851 E 14TH ST STE 202, SAN LEANDRO, CA 94578-2627
(510) 357-4006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/11/2024
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