EASTLAKE SURGERY CENTER – NPI #1457535395
Clinic/Center

EASTLAKE SURGERY CENTER is an AHC clinic located in CHULA VISTA, CA. NPPES has assigned the NPI number 1457535395 to EASTLAKE SURGERY CENTER on December 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTLAKE SURGERY CENTER below.

NPI Profile for
EASTLAKE SURGERY CENTER

NPI Number
1457535395
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTLAKE SURGERY CENTER
Primary location
890 EASTLAKE PKWY
SUITE #100
CHULA VISTA, CA 91914-4520
Phone: (619) 216-8000 Fax: (619) 216-3223
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NOJAN TALEBZADEH
OWNER
Phone: (619) 216-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA A064127

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.