Organization
PERSEPOLIS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PANTEA ILBEIGI JD (ADMINISTRATIVE MANAGER)
(973) 303-2848
Entity
Organization
Contact information
Practice address
18400 US HIGHWAY 18, SUITE B, APPLE VALLEY, CA 92307-2306
(760) 810-7590
(760) 810-7593
Mailing address
12277 APPLE VALLEY RD, PMB#397, APPLE VALLEY, CA 92308-1701
(760) 242-3939
(760) 810-7593
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
04/01/2011
Last updated
04/24/2024
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