Organization
ARCHIBALD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL M SHIVARAM M.D. (MEDICAL DIRECTOR)
(909) 624-8077
Entity
Organization
Contact information
Practice address
9674 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-7944
(909) 989-4100
(909) 989-5400
Mailing address
9674 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-7944
(909) 296-8930
(909) 296-8935
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
09/19/2023
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