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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

4TH STREET LASER & SURGERY CENTER INC

Active Organization

4TH STREET LASER & SURGERY CENTER INC is a Ambulatory Surgical Center organization located in SANTA ROSA, California. NPI 1902964174 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · SANTA ROSA, CA

Registration Details

NPI Number
1902964174
Provider Type
Organization
NPI Issued
Dec 4, 2006 (19.719615126835 yrs)
Last Updated
Jan 17, 2013
License
110000344 (CA)

Practice Information

Address
1720 4TH ST
SANTA ROSA, CA, 954043602
Browse CA providers · Browse ZIP 95404
Phone
7075468100
Fax
7075446438
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.