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Organization
INNOVATIVE SURGICAL CENTER, INC
Active
Organization
INNOVATIVE SURGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALWINDER S SINGHA MD (PRESIDENT)
(401) 575-0308
Entity
Organization
Contact information
Practice address
8283 GROVE AVE STE 207B, RANCHO CUCAMONGA, CA 91730-3137
(401) 575-0308
Mailing address
PO BOX 379, PASADENA, CA 91102-0379
(562) 548-7530
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/13/2025
Last updated
03/25/2025
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