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Organization
CORONA PAIN MANAGEMENT CENTER
Active
Organization
CORONA PAIN MANAGEMENT CENTER
Active
Other names
Corona Specialty Care Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KHURAM A SIAL M.D. (PRESIDENT)
(951) 734-7246
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE, SUITE 103, CORONA, CA 92881-3103
(951) 734-7246
Mailing address
31569 CANYON ESTATES DR STE 135, LAKE ELSINORE, CA 92532-0472
(951) 734-7246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/27/2012
Last updated
03/14/2024
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