# UNITED SURGERY CENTER RIVERSIDE LLC

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

## Provider details

- **NPI number:** 1821762329
- **Authorized official:** KEN JONES (DIRECTOR OF BUSINESS OPERATIONS)
- **Authorized official phone:** (951) 764-9396

## Contact information

- **Practice address:** 4234 RIVERWALK PKWY STE 160, RIVERSIDE, CA 92505-3371
- **Practice address phone:** (951) 764-9396
- **Mailing address:** 25150 HANCOCK AVE STE 208, MURRIETA, CA 92562-5989
- **Mailing address phone:** (951) 698-8805

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 08/06/2021