Organization · Type 2 NPI
Genesis Healthcare System
Ambulatory Surgical Clinic/Center · Chino, CA
NPI number
1104150580
Active
Practice location
11760 Central Ave Ste 125
Chino, CA 91710-1909
Fax (909) 902-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 34087 |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1104150580
Genesis Healthcare System's National Provider Identifier is 1104150580, issued on Oct 1, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Chino, CA. The record was last updated on Oct 30, 2009.