Organization Name: | NORTHBAY PHYSICIAN'S SURGERY CENTER, L.L.C. |
NPI Number: | 1003015843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN PETER ZOPFI (MEDICAL DIRECTOR) |
Mailing Address: | 1006 Nut Tree Road Vacaville |
State: | CA US |
Postal Code: | 95687 |
Phone Number: | 7074462800 |
Fax Number: | 7074269700 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |