PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC NPI 1497746747

NPI Information

NPI: 1497746747
Provider Name: PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1017796

Address:
12567 HESPERIA ROAD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-7754
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PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC is an ambulatory surgical clinic center in Victorville, CA. PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC NPI is 1497746747. The provider is registered as an organization entity type.

The provider's business location address is:

12567 HESPERIA ROAD
VICTORVILLE, CA
ZIP 92395-847
Phone: (760) 241-7754
Fax: (760) 962-9837

The provider's authorized official is Stacy Yegn .
The authorized official title is Controller and has the following contact phone number (949) 705-5103.

The CLIA number assigned to this NPI record is 05D1017796 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 11/9/2017.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 4/28/2024

NPI Synchronization or Removal

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