4th Street Laser & Surgery Center Inc
4th Street Laser & Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1720 4th StSanta Rosa, CA 95404-3602
Phone: (707) 546-8100
Fax: (707) 544-6438
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 110000344 (CA) |
|---|
Record details
| NPI number | 1902964174 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elayne Clark — Administrator · (707) 546-8100 |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | January 17, 2013 |
| Mailing address | 1720 4th St, Santa Rosa, CA 95404-3602 |
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-
Barth Vision Surgical Suite LLC
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Chernoff and Associates Cosmetic Surgeons
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Norcal Specialty Surgery Center, LLC
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