De Anza Surgery Center in Riverside - Ambulatory Surgical

De Anza Surgery Center - NPI 1831177567

De Anza Surgery Center is a Ambulatory Surgical in Riverside, California. De Anza Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for De Anza Surgery Center is 1831177567. The last update date is 2008-10-09.

De Anza Surgery Center's current location address is 4444 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9513207799 and fax number 9512743550. The mailing address for De Anza Surgery Center is 4444 Magnolia Ave, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization De Anza Surgery Center
Address 4444 Magnolia Ave, Riverside, California
Phone Number 9513207799
Fax Number 9512743550
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO/ADMINI
Authorized Official Name Tennant J Edward
Credentials CASC
Telephone Number 9513207799

NPI Number Detail

NPI Number 1831177567
Provider Enumeration Date 2006-01-03
Last Updated Date 2008-10-09

Provider Mailing Address Detail

Address 4444 Magnolia Ave
City Riverside
State California (CA)
Post Code 925014136
Phone Number 9513207799
Fax Number 9512743550

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 250000795
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about De Anza Surgery Center

What is the unique 10-digit identifier code assigned to De Anza Surgery Center by the Centers for Medicare & Medicaid Services?

The De Anza Surgery Center has been issued the NPI (National Provider Identifier) 1831177567 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the De Anza Surgery Center's physical address?

The De Anza Surgery Center is physically located at 4444 Magnolia Ave, in the city of Riverside, CA, with the postal code 925014136.

What is De Anza Surgery Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The De Anza Surgery Center's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.

On what date did the De Anza Surgery Center receive the assignment of its 1831177567 from the Centers for Medicare & Medicaid Services?

The De Anza Surgery Center was issued its 1831177567 by the Centers for Medicare & Medicaid Services on 2006-01-03.

When was the information regarding De Anza Surgery Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to De Anza Surgery Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-09.

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