# ADVANCED AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1881690949
- **Authorized official:** MRS. SUZANNE MICHELLE CUNNINGHAM (ADMINISTRATOR)
- **Authorized official phone:** (909) 560-5125

## Contact information

- **Practice address:** 1901 W LUGONIA AVE STE 100, REDLANDS, CA 92374-9704
- **Practice address phone:** (909) 557-1700
- **Practice address fax:** (909) 557-1730
- **Mailing address:** PO BOX 30538, LOS ANGELES, CA 90030-0538
- **Mailing address phone:** (909) 557-1704
- **Mailing address fax:** (909) 557-1730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000011 | CA | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 12/31/2025