Organization
HALLMARK SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY ROY (CONTROLLER)
(909) 473-1980
Entity
Organization
Contact information
Practice address
4130 HALLMARK PKWY, SUITE A, SAN BERNARDINO, CA 92407-1877
(909) 473-1980
(909) 473-1985
Mailing address
4130 HALLMARK PKWY, SUITE A, SAN BERNARDINO, CA 92407-1877
(909) 473-1980
(909) 473-1985
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051614
BLUE CROSS
CA
Enumeration date
11/20/2006
Last updated
10/15/2007
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