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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