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BENEFIT SURGERY MEDICAL CENTER NPI 1952355422


NPI Information

NPI: 1952355422
Provider Name: BENEFIT SURGERY MEDICAL CENTER

Doing Business As: BENEFIT SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
9674 ARCHIBALD AVE
SUITE 125
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 989-4100
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BENEFIT SURGERY MEDICAL CENTER is an ambulatory surgical clinic center in Rancho Cucamonga, CA. BENEFIT SURGERY MEDICAL CENTER NPI is 1952355422. The provider is registered as an organization entity type.
The provider Is Doing Business As Benefit Surgery Center.

The provider's business location address is:

9674 ARCHIBALD AVE
SUITE 125
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 989-4100
Fax: (909) 989-5400

The provider's authorized official is Yong Tai Lee .
The authorized official title is Ceo and has the following contact phone number (909) 989-4100.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/3/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical240000845CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1240000845OTHERCALIFORNIASURG. CLINIC LICENSE DHS
2ZZZ27189ZMEDICARE PIN
305-C0001584MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER
4Y00037MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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