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Organization
RESURGENT HEAD AND NECK SURGEONS, INC.
Active
Organization
RESURGENT HEAD AND NECK SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GABARAIN MD (CEO)
(951) 981-2200
Entity
Organization
Contact information
Practice address
6848 MAGNOLIA AVE STE 220, RIVERSIDE, CA 92506-2858
(951) 656-1500
(951) 656-1510
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
10/04/2020
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