Organization
HIGH DESERT EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
16030 KAMANA ROAD, APPLE VALLEY, CA 92307-9230
(760) 946-0618
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
(092) 772-4209
(909) 206-1097
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
01/02/2020
Last updated
01/14/2026
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