# CHINO STONE & SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053096040
- **Authorized official:** DR. DAVID G SONG M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (909) 902-0009

## Contact information

- **Practice address:** 12611 9TH STREET, SUITE D, CHINO, CA 91710-3528
- **Practice address phone:** (909) 902-0009
- **Practice address fax:** (909) 206-0628
- **Mailing address:** 12611 9TH STREET, SUITE D, CHINO, CA 91710-3528
- **Mailing address phone:** (909) 480-4968
- **Mailing address fax:** (909) 206-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 03/26/2025