Provider Demographics
NPI:1194022467
Name:CENTER FOR THE SURGICAL ARTS
Entity Type:Organization
Organization Name:CENTER FOR THE SURGICAL ARTS
Other - Org Name:MARTEN CLINIC OF PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-677-9937
Mailing Address - Street 1:450 SUTTER ST RM 2222
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4201
Mailing Address - Country:US
Mailing Address - Phone:415-677-9937
Mailing Address - Fax:415-677-9473
Practice Address - Street 1:450 SUTTER ST RM 2212
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4201
Practice Address - Country:US
Practice Address - Phone:415-677-9937
Practice Address - Fax:415-677-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52421261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical