Organization
ADVANCED AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE MICHELLE CUNNINGHAM (ADMINISTRATOR)
(909) 560-5125
Entity
Organization
Contact information
Practice address
1901 W LUGONIA AVE STE 100, REDLANDS, CA 92374-9704
(909) 557-1700
(909) 557-1730
Mailing address
PO BOX 30538, LOS ANGELES, CA 90030-0538
(909) 557-1704
(909) 557-1730
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000011
CA
Other
Enumeration date
06/23/2005
Last updated
12/31/2025
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