Provider Demographics
NPI:1437274495
Name:EYE SURGICAL CENTER OF SAN FRANCISCO LLC
Entity Type:Organization
Organization Name:EYE SURGICAL CENTER OF SAN FRANCISCO LLC
Other - Org Name:EYE SURGERY CENTER OF SAN FRANCISCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER AND AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:BALDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-234-5954
Mailing Address - Street 1:PO BOX 393937
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-3937
Mailing Address - Country:US
Mailing Address - Phone:415-440-1100
Mailing Address - Fax:415-440-6430
Practice Address - Street 1:1160 POST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5505
Practice Address - Country:US
Practice Address - Phone:415-440-1100
Practice Address - Fax:415-440-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical