Organization
THE ADVANCED SURGICAL INSTITUTE OF RANCHO CUCAMONGA, LLC
Active
Other names
The Advanced Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN S AL-HAKEEM M.D. (MEDICAL DIRECTOR)
(909) 373-4380
Entity
Organization
Contact information
Practice address
19671 BEACH BLVD, SUITE 321, HUNTINGTON BEACH, CA 92648-5901
(714) 969-2520
(714) 969-7480
Mailing address
8112 MILLIKEN AVE, SUITE 202, RANCHO CUCAMONGA, CA 91730-7471
(909) 373-4380
(909) 373-4388
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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