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INLAND EMPIRE OUTPATIENT SURGERY CENTER NPI 1164640454


NPI Information

NPI: 1164640454
Provider Name: INLAND EMPIRE OUTPATIENT SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2150 N SIERRA WAY
SAN BERNARDINO, CA
ZIP 92405
Phone: (909) 881-2538
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INLAND EMPIRE OUTPATIENT SURGERY CENTER is an ambulatory surgical clinic center in San Bernardino, CA. INLAND EMPIRE OUTPATIENT SURGERY CENTER NPI is 1164640454. The provider is registered as an organization entity type.

The provider's business location address is:

2150 N SIERRA WAY
SAN BERNARDINO, CA
ZIP 92405-030
Phone: (909) 881-2538

The provider's authorized official is Jesse Mitchell .
The authorized official title is Medical Director and has the following contact phone number (909) 881-2538.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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 SurgicalCALIFORNIAYes

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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