Organization · Type 2 NPI

Eye Center of Northern California

Ambulatory Surgical Clinic/Center · El Cerrito, CA

NPI number 1083874648 Active

Practice location

6500 Fairmount Ave
El Cerrito, CA 94530-3667

Fax (510) 524-1887

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	140000382 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

4 other providers at this address

NPI record

NPI: 1083874648
Entity type: Organization (Type 2)
Issued: Jun 16, 2008
Last updated: Jun 16, 2008
Status: Active
Subpart: Yes of Eye Center of Northern California

Other names

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Ellis Eye & Laser Medical Cnter · doing business as

Authorized official

Dr. William Ellis, MD
Director/owner
(510) 525-2600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083874648

Eye Center of Northern California's National Provider Identifier is 1083874648, issued on Jun 16, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in El Cerrito, CA. The record was last updated on Jun 16, 2008.