4th Street Laser & Surgery Center Inc

  • 1902964174 NPI Number
  • |
  • Actived: 17 years ago
  • |
4th Street Laser & Surgery Center Inc is a health care provider based in Santa Rosa, CA. The NPI Number is 1902964174 and it has been active since 17 years ago. The specialty is Ambulatory Surgical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Ambulatory Surgical services, 4th Street Laser & Surgery Center Inc is an excellent option. We are here to help you get the care you need.

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Overview of 4th Street Laser & Surgery Center Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/04/2006
  • Last updated: 01/17/2013

Primary Scrop of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 110000344
  • License State: CA

Provider Mailing Address

  • Address: 1720 4th St
    Santa Rosa, CA 95404
  • Phone: 707-546-8100
  • Fax: 707-544-6438

Provider Practice Location

  • Address: 1720 4th St
    Santa Rosa, CA 95404
  • Phone: 707-546-8100
  • Fax: 707-544-6438

Authorized Official

  • Name: MS. Elayne Clark RN CASC
  • Position/Title: Administrator
  • Telephone Number: 707-546-8100

Scope of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 110000344
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 110000344
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: STATE OF CA LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for 4th Street Laser & Surgery Center Inc?
  • A: The npi number for 4th Street Laser & Surgery Center Inc is 1902964174.
  • Q: What are 4th Street Laser & Surgery Center Inc's specialties?
  • A: 4th Street Laser & Surgery Center Inc's specialties are Ambulatory Surgical and different specialities.
  • Q: Where is 4th Street Laser & Surgery Center Inc business practice location?
  • A: 4th Street Laser & Surgery Center Inc business practice location is 1720 4th St, Santa Rosa, CA 95404.
  • Q: How to contact 4th Street Laser & Surgery Center Inc?
  • A: You can contact 4th Street Laser & Surgery Center Inc via 707-546-8100.
  • Q: What is the authorized official for 4th Street Laser & Surgery Center Inc?
  • A: The authorized office name is MS. Elayne Clark RN CASC with position/title is Administrator and you can reach the authorized official via phone number 7075468100.
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