# CORONA SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corona Summit Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356616064
- **Authorized official:** MR. FRANK EDWARD SZCZESNIAK III R.N. (ADMINISTRATOR)
- **Authorized official phone:** (951) 736-0137

## Contact information

- **Practice address:** 2370 ANSELMO DRIVE, CORONA, CA 92879
- **Practice address phone:** (951) 736-0137
- **Practice address fax:** (951) 734-3597
- **Mailing address:** 2370 ANSELMO DRIVE, CORONA, CA 92879
- **Mailing address phone:** (951) 736-0137
- **Mailing address fax:** (951) 734-3597

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 06/01/2020