Organization
SUGIHARA SURGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM Q SUGIHARA MD (PHYSICIAN OWNER)
(909) 870-3033
Entity
Organization
Contact information
Practice address
811 E 11TH ST STE 207, UPLAND, CA 91786-4872
(909) 870-3033
(909) 870-3034
Mailing address
299 W FOOTHILL BLVD STE 212, UPLAND, CA 91786-3806
(909) 870-3033
(909) 870-3034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A142557
CA
Other
Enumeration date
08/17/2017
Last updated
09/04/2020
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