# HIGH DESERT EYE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1588203988
- **Authorized official:** CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 16030 KAMANA ROAD, APPLE VALLEY, CA 92307-9230
- **Practice address phone:** (760) 946-0618
- **Mailing address:** 555 N 13TH AVE, UPLAND, CA 91786-4904
- **Mailing address phone:** (092) 772-4209
- **Mailing address fax:** (909) 206-1097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/02/2020
- **Last updated:** 01/14/2026