Organization
ST JOHN SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMSHEED J SHAMLOO M.D. (OWNER)
(909) 422-8015
Entity
Organization
Contact information
Practice address
1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
(909) 422-8015
(909) 422-0625
Mailing address
PO BOX 699, SAN DIMAS, CA 91773-0699
(909) 971-9334
(909) 575-3573
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
09/28/2015
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