Organization
SCB EYE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARANYA BALASUBRAMANIAM M.D (PHYSICIAN)
(909) 645-6992
Entity
Organization
Contact information
Practice address
7798 CHERRY AVE, FONTANA, CA 92336-4014
(909) 445-8535
(909) 552-8955
Mailing address
7798 CHERRY AVE, FONTANA, CA 92336-4014
(909) 445-8535
(909) 552-8955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
08/24/2022
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