Organization
SO. CAL. ENDO SURGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS W KUVHENGUHWA MD (OWNER)
(951) 231-2402
Entity
Organization
Contact information
Practice address
3838 SHERMAN DR STE 6, RIVERSIDE, CA 92503-4001
(951) 231-2402
(951) 688-8451
Mailing address
PO BOX 1551, RIVERSIDE, CA 92502-1551
(951) 231-2402
(951) 688-8451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G59257
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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