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Contact Information

IB SURGERY INC
12740 HESPERIA RD STE B
VICTORVILLE, CA92395
 Phone: 760-410-6100
 Fax: 760-854-4100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IB SURGERY INC

NPI Number 1215310909
LBN Legal business name IB SURGERY INC
Authorized official IRENE HOUARI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2015
Last updated 06/21/2018 - About 8 years ago
Identifiers
CA License # A117875
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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