# COMPREHENSIVE SURGICAL CARE OF YUMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGEN ASC MANAGEMENT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750027371
- **Legal business name:** REGEN ASC MANAGEMENT, LLC
- **Authorized official:** DR. JOEL RAINWATER MD (CMO)
- **Authorized official phone:** (480) 510-2113

## Contact information

- **Practice address:** 2145 W 28TH ST STE A, YUMA, AZ 85364-1219
- **Practice address phone:** (928) 877-0526
- **Practice address fax:** (928) 877-0527
- **Mailing address:** PO BOX 200963, DALLAS, TX 75320-0963
- **Mailing address phone:** (520) 777-5030
- **Mailing address fax:** (520) 509-4496

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2022
- **Last updated:** 01/24/2024