Organization
CHINO VASCULAR & SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL SHAH MD (PRESIDENT)
(714) 754-1684
Entity
Organization
Contact information
Practice address
11760 CENTRAL AVE STE 204, CHINO, CA 91710-1909
(714) 754-1684
(714) 966-0417
Mailing address
2621 S BRISTOL ST STE 108, SANTA ANA, CA 92704-5718
(714) 754-1684
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
01/15/2020
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