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Organization
HIGH DESERT EYE SURGERY CENTER, LLC
Active
Organization
HIGH DESERT EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
16030 KAMANA ROAD, APPLE VALLEY, CA 92307-9230
(760) 946-0618
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
(092) 772-4209
(909) 206-1097
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
01/02/2020
Last updated
01/14/2026
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