Organization
INLAND VALLEY TRAUMA AND ACUTE CARE SURGERY APC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITO FLAVIO GORSKI MD (CEO PRESIDENT)
(951) 331-9040
Entity
Organization
Contact information
Practice address
36320 INLAND VALLEY DR STE 101A, WILDOMAR, CA 92595
(951) 698-3000
(951) 698-7700
Mailing address
36320 INLAND VALLEY DR STE 101A, WILDOMAR, CA 92595-7512
(951) 698-3000
(951) 698-7700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508958240
NPI
CA
Enumeration date
05/29/2018
Last updated
06/18/2018
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