Organization
INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SEDRAK MD (OWNER)
(310) 728-0494
Entity
Organization
Contact information
Practice address
1902 FULLERTON AVE, SUITE 101, CORONA, CA 92881-3112
(310) 728-0494
Mailing address
1902 FULLERTON AVE, SUITE 101, CORONA, CA 92881-3112
(951) 479-8994
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
06/18/2024
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