Healthcare Provider Details

I. General information

NPI: 1922386523
Provider Name (Legal Business Name): FOCUS SURGICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2011
Last Update Date: 07/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HILL DR SUITE 43
BRISBANE CA
94005-1017
US

IV. Provider business mailing address

100 N HILL DR SUITE 43
BRISBANE CA
94005-1017
US

V. Phone/Fax

Practice location:
  • Phone: 415-519-9026
  • Fax: 415-869-9958
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM GRAVES
Title or Position: PRESIDENT
Credential:
Phone: 415-519-9026