# ST JOHN SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1720359151
- **Authorized official:** DR. JAMSHEED J SHAMLOO M.D. (OWNER)
- **Authorized official phone:** (909) 422-8015

## Contact information

- **Practice address:** 1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
- **Practice address phone:** (909) 422-8015
- **Practice address fax:** (909) 422-0625
- **Mailing address:** PO BOX 699, SAN DIMAS, CA 91773-0699
- **Mailing address phone:** (909) 971-9334
- **Mailing address fax:** (909) 575-3573

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 09/28/2015