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Organization

UNITED SURGERY OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KHURAM SIAL MD (PRESIDENT)
(951) 734-7246
Entity
Organization

Contact information

Practice address
1810 FULLERTON AVE, SUITE #103, CORONA, CA 92881-3103
(951) 734-7246
(855) 898-4055
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
208100000X
Physical Medicine & Rehabilitation Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208200000X
Plastic Surgery Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
02/06/2016
Last updated
02/06/2016
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