# DEBORSHI ROY MD INC

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

## Provider details

- **NPI number:** 1497040919
- **Authorized official:** MS. KIMBERLY DIANE SWANSON (OFFICE MANAGER)
- **Authorized official phone:** (951) 738-8217

## Contact information

- **Practice address:** 8906 SAN BERNARDINO RD, SUITE104, RANCHO CUCAMONGA, CA 91730-8805
- **Practice address phone:** (909) 466-0847
- **Practice address fax:** (909) 466-0867
- **Mailing address:** PO BOX 77365, CORONA, CA 92877-0112
- **Mailing address phone:** (951) 738-8217
- **Mailing address fax:** (951) 738-0524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | C54320 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 06/13/2011