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Organization
INLAND BREAST AND BODY SURGERY CENTER
Active
Organization
INLAND BREAST AND BODY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY ANDREASEN BSN (DIRECTOR OF NURSING)
(909) 844-5837
Entity
Organization
Contact information
Practice address
3333 CONCOURS ST, BUILDING #1 SUITE 1100, ONTARIO, CA 91764
(909) 563-3015
Mailing address
1541 MARION RD, REDLANDS, CA 92374-6332
(909) 563-3015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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