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CORONA SUMMIT SURGICENTER LLC NPI 1821723321


NPI Information

NPI: 1821723321
Provider Name: CORONA SUMMIT SURGICENTER, LLC

Doing Business As: CORONA SUMMIT SURGICAL CENTER

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

Specialization: Ambulatory Surgical

Address:
2370 ANSELMO DR
CORONA, CA
ZIP 92879
Phone: (951) 736-0137
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CORONA SUMMIT SURGICENTER, LLC is an ambulatory surgical clinic center in Corona, CA. CORONA SUMMIT SURGICENTER, LLC NPI is 1821723321. The provider is registered as an organization entity type.
The provider Is Doing Business As Corona Summit Surgical Center.

The provider's business location address is:

2370 ANSELMO DR
CORONA, CA
ZIP 92879-106
Phone: (951) 736-0137
Fax: (951) 734-3597

The provider's authorized official is William G Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The enumeration date for this NPI number is 7/19/2022 and was last updated on 8/22/2022.


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 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: 5/5/2024

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