Organization
RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PARDIS TAHERI MD (DIRECTOR)
(661) 266-2994
Entity
Organization
Contact information
Practice address
1200 N CHINA LAKE BLVD, RIDGECREST, CA 93555
(800) 991-6448
(424) 369-9555
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(800) 991-6448
(424) 369-9555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
06/18/2021
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