Organization
PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY YEGN (CONTROLLER)
(949) 705-5103
Entity
Organization
Contact information
Practice address
12567 HESPERIA ROAD, VICTORVILLE, CA 92395-5847
(760) 241-7754
(760) 962-9837
Mailing address
PO BOX 7459, NEWPORT BEACH, CA 92658-7459
(949) 705-5103
(949) 705-5101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
11/09/2017
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