1609255405 NPI number — C7 SURGICAL SOLUTIONS INC

Table of content: (NPI 1609255405)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609255405 NPI number — C7 SURGICAL SOLUTIONS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C7 SURGICAL SOLUTIONS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609255405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 90730
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91109-0730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-795-7036
Provider Business Mailing Address Fax Number:
626-795-7374

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 S RAYMOND AVE
Provider Second Line Business Practice Location Address:
THIRD FLOOR
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91105-3229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-396-1260
Provider Business Practice Location Address Fax Number:
626-396-1269
Provider Enumeration Date:
05/26/2015

Additional Information

Authorized Official

Authorized Official Last Name:
COSTIGAN
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
626-396-1285

Provider Taxonomy Codes

  • Taxonomy code: 207XS0117X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A60548 . This is a "CA LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com