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Organization
THE ADVANCED SURGICAL INSTITUTE OF RANCHO CUCAMONGA, LLC
Active
Organization
THE ADVANCED SURGICAL INSTITUTE OF RANCHO CUCAMONGA, LLC
Active
Other names
The Advanced Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN S AL-HAKEEM M.D. (MEDICAL DIRECTOR)
(909) 373-4380
Entity
Organization
Contact information
Practice address
19671 BEACH BLVD, SUITE 321, HUNTINGTON BEACH, CA 92648-5901
(714) 969-2520
(714) 969-7480
Mailing address
8112 MILLIKEN AVE, SUITE 202, RANCHO CUCAMONGA, CA 91730-7471
(909) 373-4380
(909) 373-4388
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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