Organization
SAN BERNARDINO EYE SURGERY CENTER LLC
Active
Other names
The Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Mailing address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
05/28/2026
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