HAVEN SURGICAL CENTER LLC NPI 1700654191

NPI Information

  • NPI: 1700654191
  • Provider Name: HAVEN SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 9120 HAVEN AVE
    SUITE 101
    RANCHO CUCUAMONGA, CA
    ZIP 91730
  • Phone: (909) 295-5060

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NPI Details

HAVEN SURGICAL CENTER LLC is an ambulatory surgical clinic center in Rancho Cucuamonga, CA. HAVEN SURGICAL CENTER LLC NPI is 1700654191. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9120 HAVEN AVE
SUITE 101
RANCHO CUCUAMONGA, CA
ZIP 91730-413
Phone: (909) 295-5060
Fax: (909) 295-5061

The provider's authorized official is Dharmesh Mehta .
The authorized official title is Owner and has the following contact phone number (626) 608-7321.

The enumeration date for this NPI number is 12/14/2023 and was last updated on 2/29/2024.

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
1163WP0000XRegistered NursePain ManagementNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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