Healthcare Provider Details

I. General information

NPI: 1417876293
Provider Name (Legal Business Name): GOLDEN GATE SURGICENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER ST RM 1130
SAN FRANCISCO CA
94108-3995
US

IV. Provider business mailing address

450 SUTTER ST RM 1130
SAN FRANCISCO CA
94108-3995
US

V. Phone/Fax

Practice location:
  • Phone: 415-393-9600
  • Fax: 415-393-9633
Mailing address:
  • Phone: 415-393-9600
  • Fax: 415-393-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES L CHEN
Title or Position: MANAGER
Credential: MD
Phone: 415-393-9600