Organization
RESURGENT HEAD AND NECK SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GABARAIN MD (CEO)
(951) 981-2200
Entity
Organization
Contact information
Practice address
6848 MAGNOLIA AVE STE 220, RIVERSIDE, CA 92506-2858
(951) 656-1500
(951) 656-1510
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
10/04/2020
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