Organization
RIDGECREST SPECIALTY SURGERY CENTER, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI M.D. (MEDICAL DIRECTOR/ OWNER)
(661) 947-4600
Entity
Organization
Contact information
Practice address
1200 N. CHINA LAKE BLVD, RIDGECREST, CA 93555-2665
(661) 947-4600
Mailing address
1200 N. CHINA LAKE BLVD., RIDGECREST, CA 93555-2665
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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