Organization
PARADISE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME NISWONGER M.D. (OWNER)
(530) 514-8282
Entity
Organization
Contact information
Practice address
6283 CLARK RD, SUITE 11, PARADISE, CA 95969-4100
(530) 514-8282
Mailing address
6283 CLARK RD, SUITE 11, PARADISE, CA 95969-4100
(530) 514-8282
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05C001855
CA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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