# INLAND BREAST AND BODY SURGERY CENTER

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

## Provider details

- **NPI number:** 1689339186
- **Authorized official:** ZACHARY ANDREASEN BSN (DIRECTOR OF NURSING)
- **Authorized official phone:** (909) 844-5837

## Contact information

- **Practice address:** 3333 CONCOURS ST, BUILDING \#1 SUITE 1100, ONTARIO, CA 91764
- **Practice address phone:** (909) 563-3015
- **Mailing address:** 1541 MARION RD, REDLANDS, CA 92374-6332
- **Mailing address phone:** (909) 563-3015

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2021
- **Last updated:** 11/01/2021