# 92270 SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 90210 SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386930162
- **Authorized official:** DR. RENATO CALABRIA MD., (OWNER)
- **Authorized official phone:** (760) 836-0077

## Contact information

- **Practice address:** 71-511 HWY 111, SUITE E, RANCHO MIRAGE, CA 92270
- **Practice address phone:** (760) 836-0077
- **Practice address fax:** (760) 836-0067
- **Mailing address:** 71-511 HWY 111, SUITE E, RANCHO MIRAGE, CA 92270
- **Mailing address phone:** (760) 836-0077
- **Mailing address fax:** (760) 836-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A43041 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 06/21/2011