# WHITE PINE SURGERY CENTER

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

## Provider details

- **NPI number:** 1487408316
- **Authorized official:** DR. YI CAI ISAAC TONG MD (MEMBER/CEO)
- **Authorized official phone:** (917) 745-6888

## Contact information

- **Practice address:** 3762 TIBBETTS ST, RIVERSIDE, CA 92506-2605
- **Practice address phone:** (949) 414-7246
- **Mailing address:** 3762 TIBBETTS ST, RIVERSIDE, CA 92506-2605

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 08/20/2024