EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. NPI 1336299072

NPI Information

EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. is an orthopaedic surgery of the spine orthopaedic surgery in Colton, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC. NPI is 1336299072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 E WASHINGTON ST
SUITE 300
COLTON, CA
ZIP 92324
Phone: (909) 824-2422
Fax: (909) 824-8234

The provider's authorized official is Darren L Bergey .
The authorized official title is Ceo and has the following contact phone number (909) 824-2422.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 7/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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