Organization
HAVEN SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DHARMESH MEHTA MD (OWNER)
(626) 608-7321
Entity
Organization
Contact information
Practice address
9120 HAVEN AVE, SUITE 101, RANCHO CUCUAMONGA, CA 91730-5413
(909) 295-5060
(909) 295-5061
Mailing address
9120 HAVEN AVE, SUITE 101, RANCHO CUCUAMONGA, CA 91730-5413
(909) 295-5060
(909) 295-5061
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
02/29/2024
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