Organization
AMERICAN MEDICAL SPECIALTIES INC
Active
Other names
American Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KEMPTHORNE (PRESIDENT)
(909) 883-8900
Entity
Organization
Contact information
Practice address
103 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3603
(909) 883-8900
(909) 881-1490
Mailing address
103 EAST HIGHLAND AVENUE, SAN BERNANDINO, CA 92404
(909) 883-8900
(909) 881-1490
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ44677Z
MEDICAL
CA
Enumeration date
04/13/2007
Last updated
08/22/2020
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