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Organization
RANCHO SURGICAL INSTITUTE LLC
Active
Organization
RANCHO SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA VENTURA (MEDICAL BILLER)
(310) 975-1881
Entity
Organization
Contact information
Practice address
8916 SAN BERNARDINO RD, RANCHO CUCAMONGA, CA 91730-8801
(310) 975-1881
Mailing address
8916 SAN BERNARDINO RD, RANCHO CUCAMONGA, CA 91730-8801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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