Provider Demographics
NPI:1114400280
Name:ALMA AT ADDISON SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ALMA AT ADDISON SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:SHRIKANT
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-327-3232
Mailing Address - Street 1:805 EL CAMINO REAL STE A
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2315
Mailing Address - Country:US
Mailing Address - Phone:650-327-3232
Mailing Address - Fax:
Practice Address - Street 1:105 ADDISON AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2401
Practice Address - Country:US
Practice Address - Phone:650-327-3232
Practice Address - Fax:650-327-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical