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Organization
BENEFIT SURGERY MEDICAL CENTER
Active
Organization
BENEFIT SURGERY MEDICAL CENTER
Active
Other names
Benefit Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
YONG TAI LEE MD (CEO)
(909) 989-4100
Entity
Organization
Contact information
Practice address
9674 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730
(909) 989-4100
(909) 989-5400
Mailing address
9674 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730
(909) 989-4100
(909) 989-5400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
240000845
CA
Other
Enumeration date
05/20/2006
Last updated
06/03/2008
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