is a Surgery in Upland, California. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1881851574. The last update date is .
's current location address is 811 East 11th St #207, Upland, California. You can contact this provider via phone number 9099813411 and fax number 9099467740. The mailing address for is 811 East 11th St #207, Upland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 811 East 11th St #207, Upland, California |
| Phone Number | 9099813411 |
| Fax Number | 9099467740 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881851574 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 811 East 11th St #207 |
|---|---|
| City | Upland |
| State | California (CA) |
| Post Code | 91786 |
| Phone Number | 9099813411 |
| Fax Number | 9099467740 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A33797 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A337970 | CA | -- |
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