Organization
WHITE PINE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YI CAI ISAAC TONG MD (MEMBER/CEO)
(917) 745-6888
Entity
Organization
Contact information
Practice address
3762 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(949) 414-7246
Mailing address
3762 TIBBETTS ST, RIVERSIDE, CA 92506-2605
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
08/20/2024
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