Organization
ACE ENDOSCOPY AND SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMARAVELU BALASUBRAMANIAM M.D. (MEDICAL DIRECTOR)
(909) 881-3032
Entity
Organization
Contact information
Practice address
2006 N. RIVERSIDE AVENUE, SUITE A, RIALTO, CA 92376
(909) 881-3032
(909) 881-0668
Mailing address
2006 N. RIVERSIDE AVENUE, SUITE A, RIALTO, CA 92376
(909) 881-3032
(909) 881-0668
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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