Organization
INLAND BREAST AND BODY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY ANDREASEN BSN (DIRECTOR OF NURSING)
(909) 844-5837
Entity
Organization
Contact information
Practice address
3333 CONCOURS ST, BUILDING #1 SUITE 1100, ONTARIO, CA 91764
(909) 563-3015
Mailing address
1541 MARION RD, REDLANDS, CA 92374-6332
(909) 563-3015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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