Organization
IB SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE BIELAWIEC HOUARI MD (CEO)
(973) 738-7336
Entity
Organization
Contact information
Practice address
12740 HESPERIA RD STE B, VICTORVILLE, CA 92395
(760) 410-6100
(760) 854-4100
Mailing address
PO BOX 1792, UPLAND, CA 91785-1792
(760) 410-6100
(761) 854-4100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A117875
CA
Other
Enumeration date
06/30/2015
Last updated
06/21/2018
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