Organization
PALM VALLEY SURGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MICHELLE SOTO (BILLING MANAGER)
(760) 375-3974
Entity
Organization
Contact information
Practice address
72650 FRED WARING DR STE 103, PALM DESERT, CA 92260-5007
(760) 810-7587
(760) 810-7593
Mailing address
12277 APPLE VALLEY RD PMB 397, APPLE VALLEY, CA 92308-1701
(760) 810-7587
(760) 810-7593
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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