# GLENWOOD SURGICAL CENTER L P

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

## Provider details

- **NPI number:** 1083670970
- **Authorized official:** CLIFTON MICHAEL FRAZIER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (951) 688-7270

## Contact information

- **Practice address:** 8945 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92503-4436
- **Practice address phone:** (951) 688-7270
- **Practice address fax:** (951) 352-3736
- **Mailing address:** 8945 MAGNOLIA AVE, SUITE 200, RIVERSIDE, CA 92503-4436

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 06/12/2024