Organization · Type 2 NPI
Socal Surgical Services
Surgical Physician Assistant · Riverside, CA
NPI number
1043885197
Active
Practice location
4445 Magnolia Ave
Riverside, CA 92501-4135
Mailing address
360 E 1st St Unit 770
Tustin, CA 92780-3211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1043885197
Socal Surgical Services's National Provider Identifier is 1043885197, issued on May 21, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Riverside, CA. The record was last updated on Feb 5, 2025.