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Organization

FOUR SEASONS SURGERY CENTERS OF ONTARIO, LP

Active
Other names
Nations Surgery Centers III, LP
Organization subpart
No

Provider details

NPI number
Authorized official
NEISHA LOOTENS (CONTRACTING MANAGER)
(702) 949-7825
Entity
Organization

Contact information

Practice address
1211 W 6TH ST, ONTARIO, CA 91762-1103
(909) 933-6580
(909) 933-6590
Mailing address
1211 W 6TH ST, ONTARIO, CA 91762-1103
(909) 933-6580
(909) 933-6590

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
240000859
CA

Other

Enumeration date
10/19/2006
Last updated
10/08/2008
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