Provider Demographics
NPI:1427585280
Name:PINNACLE SURGERY CENTER, INC
Entity Type:Organization
Organization Name:PINNACLE SURGERY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-478-5444
Mailing Address - Street 1:100 N WIGET LN STE 140
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5917
Mailing Address - Country:US
Mailing Address - Phone:925-478-5444
Mailing Address - Fax:
Practice Address - Street 1:100 N WIGET LN STE 140
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5917
Practice Address - Country:US
Practice Address - Phone:925-478-5444
Practice Address - Fax:925-478-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical