Brockton Surgical Center in Riverside - Ambulatory Surgical
Brockton Surgical Center - NPI 1285735936
Brockton Surgical Center is a Ambulatory Surgical in Riverside, California. Brockton Surgical Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Brockton Surgical Center is 1285735936. The last update date is 2007-12-11.
Brockton Surgical Center's current location address is 5905 Brockton Avenue, Riverside, California. You can contact this provider via phone number 9516865373 and fax number 9517813661. The mailing address for Brockton Surgical Center is 5905 Brockton Avenue, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brockton Surgical Center |
|---|---|
| Address | 5905 Brockton Avenue, Riverside, California |
| Phone Number | 9516865373 |
| Fax Number | 9517813661 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Vogt Gregory Donald |
| Credentials | DPM |
| Telephone Number | 9516865373 |
NPI Number Detail
| NPI Number | 1285735936 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 5905 Brockton Avenue |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 92506 |
| Phone Number | 9516865373 |
| Fax Number | 9517813661 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
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What is the unique 10-digit identifier code issued to Brockton Surgical Center by the Centers for Medicare & Medicaid Services?
The Brockton Surgical Center has been assigned the NPI (National Provider Identifier) 1285735936 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brockton Surgical Center?
The Brockton Surgical Center is physically situated at 5905 Brockton Avenue, in the city of Riverside, state of CA, with the postal code 92506.
What is Brockton Surgical Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brockton Surgical Center's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
When did Brockton Surgical Center receive its 1285735936 assignment?
The Brockton Surgical Center was assigned its 1285735936 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Brockton Surgical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brockton Surgical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-11.
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