Provider Demographics
NPI:1740814326
Name:SURGICAL SOLUTIONS OF NORTHERN CALIFORNIA, INC.
Entity type:Organization
Organization Name:SURGICAL SOLUTIONS OF NORTHERN CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-919-0514
Mailing Address - Street 1:2643 S HALM AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2423
Mailing Address - Country:US
Mailing Address - Phone:323-603-8333
Mailing Address - Fax:310-730-6073
Practice Address - Street 1:13847 E 14TH ST STE 116
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2625
Practice Address - Country:US
Practice Address - Phone:818-919-0514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical