Organization
SURGICAL ARTS OF THE INLAND EMPIRE INC.
Active
Other names
Surgical Arts Of The Inland Empire
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HAIAVY M.D. (PRESIDENT)
(909) 579-3111
Entity
Organization
Contact information
Practice address
8680 MONROE CT, #100, RANCHO CUCAMONGA, CA 91730-4880
(909) 579-3111
Mailing address
8680 MONROE CT., #100, RANCHO CUCAMONGA, CA 91730
(909) 579-3111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/27/2012
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