Organization
DRUMMOND MEDICAL GROUP
Active
Other names
Indian Wells Valley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D ROBERTS M.D. (MEDICAL DIRECTOR)
(760) 446-8201
Entity
Organization
Contact information
Practice address
1111 N. CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 446-8100
(760) 446-8181
Mailing address
1111 N. CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 446-8100
(760) 446-8181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
120000489
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-C0001373
CMS CERTIFICATION NUMBER
—
05
—
SUR01373F
—
CA
Enumeration date
09/13/2005
Last updated
05/19/2009
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