Organization
SURGICAL GROUP OF THE INLAND EMPIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB HAIAVY MD (OWNER)
(909) 579-3111
Entity
Organization
Contact information
Practice address
8680 MONROE CT, STE 150, RANCHO CUCAMONGA, CA 91730-4881
(909) 987-0899
Mailing address
8680 MONROE CT, STE 150, RANCHO CUCAMONGA, CA 91730-4881
(909) 579-3111
(909) 204-4197
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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