UPLAND OUTPATIENT SURGERY CENTER LP NPI 1710945787

NPI Information

UPLAND OUTPATIENT SURGERY CENTER LP is an ambulatory surgical clinic center in Ontario, CA. UPLAND OUTPATIENT SURGERY CENTER LP NPI is 1710945787. The provider is registered as an organization entity type.
The provider Is Doing Business As Ontario Advanced Surgery Center.

The provider's business location address is:

1211 W 6TH ST
ONTARIO, CA
ZIP 91762-103
Phone: (909) 981-8755

The provider's authorized official is Venice Brinkman .
The authorized official title is Chief Administrative Officer and has the following contact phone number (909) 981-8755.

The CLIA number assigned to this NPI record is 05D0953985 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 7/10/2019.

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:

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