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Contact Information

INLAND EMPIRE SURGICAL GROUP, LLC
8680 MONROE CT
SUITE #100
RANCHO CUCAMONGA, CA91730-4880
 Phone: 909-579-3111
 Fax: 909-579-3113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Podiatrist

213E00000X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for INLAND EMPIRE SURGICAL GROUP, LLC

NPI # 1578873444
LBN Legal business name INLAND EMPIRE SURGICAL GROUP, LLC
Authorized official MARYAM ROHAM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2010
Last updated 10/13/2010 - About 16 years ago
Identifiers n/a
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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