MAINBRIDGE SURGERY CENTER INC. NPI 1902234230

NPI Information

NPI: 1902234230
Provider Name: MAINBRIDGE SURGERY CENTER INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
400 E RINCON ST
SUITE 107
CORONA, CA
ZIP 92879
Phone: (714) 771-9252
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MAINBRIDGE SURGERY CENTER INC. is an ambulatory surgical clinic center in Corona, CA. MAINBRIDGE SURGERY CENTER INC. NPI is 1902234230. The provider is registered as an organization entity type.

The provider's business location address is:

400 E RINCON ST
SUITE 107
CORONA, CA
ZIP 92879-389
Phone: (714) 771-9252
Fax: (714) 771-8481

The provider's authorized official is Larry Wong .
The authorized official title is Medical Director and has the following contact phone number (714) 771-9252.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 10/23/2013.

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	G45605	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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