# PALM VALLEY SURGICAL CENTER, INC

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

## Provider details

- **NPI number:** 1316440811
- **Authorized official:** DIANE MICHELLE SOTO (BILLING MANAGER)
- **Authorized official phone:** (760) 375-3974

## Contact information

- **Practice address:** 72650 FRED WARING DR STE 103, PALM DESERT, CA 92260-5007
- **Practice address phone:** (760) 810-7587
- **Practice address fax:** (760) 810-7593
- **Mailing address:** 12277 APPLE VALLEY RD PMB 397, APPLE VALLEY, CA 92308-1701
- **Mailing address phone:** (760) 810-7587
- **Mailing address fax:** (760) 810-7593

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/12/2018