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Organization

INNOVATIVE SURGICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALWINDER S SINGHA MD (PRESIDENT)
(401) 575-0308
Entity
Organization

Contact information

Practice address
8283 GROVE AVE STE 207B, RANCHO CUCAMONGA, CA 91730-3137
(401) 575-0308
Mailing address
PO BOX 379, PASADENA, CA 91102-0379
(562) 548-7530

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
02/13/2025
Last updated
03/25/2025
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