# MID-VALLEY SURGICENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Outpatient Surgical Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558759969
- **Authorized official:** DR. ROBERT A HARDESTY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 784-4088

## Contact information

- **Practice address:** 4500 BROCKTON AVE, SUITE 105, RIVERSIDE, CA 92501-4090
- **Practice address phone:** (951) 784-4088
- **Practice address fax:** (951) 784-4089
- **Mailing address:** 4500 BROCKTON AVE, SUITE 105, RIVERSIDE, CA 92501-4090
- **Mailing address phone:** (951) 784-4088
- **Mailing address fax:** (951) 784-4089

## Taxonomy

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

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 01/07/2015