Organization
GLENWOOD SURGICAL CENTER L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON MICHAEL FRAZIER (CHIEF EXECUTIVE OFFICER)
(951) 688-7270
Entity
Organization
Contact information
Practice address
8945 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92503-4436
(951) 688-7270
(951) 352-3736
Mailing address
8945 MAGNOLIA AVE, SUITE 200, RIVERSIDE, CA 92503-4436
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
06/12/2024
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