Organization
CORONA SURGERY CENTER, LLC
Active
Parent organization
INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC.
Authorized official
DR. PAUL A BLACHARSKI MD (OWNER)
(951) 738-8383
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE, SUITE 103, CORONA, CA 92881-3103
(951) 738-8383
(951) 738-8788
Mailing address
1810 FULLERTON AVE, SUITE 206, CORONA, CA 92881-3103
(951) 738-8383
(951) 738-8788
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G44451
CA
Other
Enumeration date
03/12/2009
Last updated
12/29/2010
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