Organization
SPRUCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA BENNETT MD (PRESIDENT)
(909) 463-0715
Entity
Organization
Contact information
Practice address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
(909) 463-0715
Mailing address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/30/2024
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