MEDICARE: CENTER FOR THE SURGICAL ARTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	G52421	CA

General Provider Information

NPI Number	:	1194022467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR THE SURGICAL ARTS

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 2222
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4201
Country	:	US
Telephone Number	:	415-677-9937
Fax Number	:	415-677-9473

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 2212
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4201
Country	:	US
Telephone Number	:	415-677-9937
Fax Number	:	415-677-9473

Authorized Official
Title or Position	:	CLINIC ADMINISTRATOR
Name	:	MS. CHLOE MARIE WARREN
Credential	:
Telephone Number	:	415-677-9937

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	02/22/2011

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