# GENESIS SURGICAL CENTER

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

## Provider details

- **NPI number:** 1558515015
- **Authorized official:** YASUSHI TAMURA M.D. (PRESIDENT)
- **Authorized official phone:** (562) 237-4523

## Contact information

- **Practice address:** 11760 CENTRAL AVE STE 204, CHINO, CA 91710-1909
- **Practice address phone:** (909) 902-5588
- **Practice address fax:** (909) 902-1013
- **Mailing address:** 18351 COLIMA RD STE 408, ROWLAND HEIGHTS, CA 91748-2791
- **Mailing address phone:** (909) 902-5588
- **Mailing address fax:** (909) 902-1013

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 03/04/2011