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Organization

UPLAND OUTPATIENT SURGERY CENTER LP

Active
Other names
Ontario Advanced Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
VENICE BRINKMAN (CHIEF ADMINISTRATIVE OFFICER)
(909) 981-8755
Entity
Organization

Contact information

Practice address
1211 W 6TH ST, ONTARIO, CA 91762-1103
(909) 981-8755
Mailing address
1211 W 6TH ST, ONTARIO, CA 91762-1103
(909) 981-8755

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/01/2006
Last updated
07/10/2019
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