# HEART AND VASCULAR SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chan Heart Rhythm Institute Surgical Treatment Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881074102
- **Authorized official:** MS. CHERYL ELAINE BONELLI (ADMINISTRATOR)
- **Authorized official phone:** (480) 772-0575

## Contact information

- **Practice address:** 4860 E BASELINE RD, SUITE 102, MESA, AZ 85206-4669
- **Practice address phone:** (480) 772-0575
- **Practice address fax:** (844) 836-4859
- **Mailing address:** 4860 E BASELINE RD STE 102, MESA, AZ 85206-4670
- **Mailing address phone:** (480) 772-0575
- **Mailing address fax:** (844) 836-4859

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 03/15/2021