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Organization

ST. BERNARDINE SURGERY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRO SORIANO ALUPAY M.D. (PRESIDENT)
(909) 886-6911
Entity
Organization

Contact information

Practice address
1869 N WATERMAN AVE, SUITE 200, SAN BERNARDINO, CA 92404-4830
(909) 886-6911
Mailing address
1869 N WATERMAN AVE, SUITE 200, SAN BERNARDINO, CA 92404-4830
(909) 886-6911

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207RG0100X
Gastroenterology Physician
207VG0400X
Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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