Organization
NURICK SURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY A NURICK MD (OWNER)
(951) 276-9012
Entity
Organization
Contact information
Practice address
7111 INDIANA AVE # 100, RIVERSIDE, CA 92504-4543
(951) 276-9012
(951) 276-9163
Mailing address
7111 INDIANA AVE STE 100, RIVERSIDE, CA 92504-4557
(951) 276-9012
(951) 276-9163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C414540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568425239
MEDICARE INDIVIDUAL NPI
CA
01
—
1639132392
MEDICARE INDIVIDUAL NPI
CA
01
—
1720041486
MEDICARE INDIVIDUAL NPI
CA
05
—
GR0085650
—
CA
01
—
ZZZ00662Z
BLUE SHIELD GROUP ID
—
Enumeration date
11/27/2006
Last updated
02/11/2026
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