Organization
INLAND EMPIRE SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM ROHAM PHARMD (ADMINISTRATOR)
(310) 621-0060
Entity
Organization
Contact information
Practice address
8680 MONROE CT, SUITE #100, RANCHO CUCAMONGA, CA 91730-4880
(909) 579-3111
(909) 579-3113
Mailing address
8680 MONROE CT, SUITE #100, RANCHO CUCAMONGA, CA 91730-4880
(909) 579-3111
(909) 579-3113
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
CA
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
CA
207RG0100X
Gastroenterology Physician
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
CA
207X00000X
Orthopaedic Surgery Physician
—
CA
207Y00000X
Otolaryngology Physician
—
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
CA
208600000X
Surgery Physician
Primary
—
CA
208VP0014X
Interventional Pain Medicine Physician
—
CA
213E00000X
Podiatrist
—
CA
213ER0200X
Radiology Podiatrist
—
CA
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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