Arrowhead Community Surgical Medical Group, Inc.
LBN: Arrowhead Community Surgical Medical Group, Inc.
Arrowhead Community Surgical Medical Group, Inc. is an health care organization with primary practice located at 400 N Pepper Ave Surgery Department, Colton CA 92324-1801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Arrowhead Community Surgical Medical Group, Inc. can be contacted via phone (909) 580-6210, or through Gnanadev, Appanagari via phone (909) 580-6210.
Contact Information
Primary practice address
400 N Pepper Ave Surgery Department
Colton CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
Authorized official contact:
Name: Gnanadev, Appanagari Doctor of Medicine (MD)
Phone: (909) 580-6210
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 51201 | California |
Profile Details
| NPI number | 1245388032 |
|---|---|
| LBN Legal business name | Arrowhead Community Surgical Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Gnanadev, Appanagari Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245388032 | NPPES |
| California | MEDICAID | 00SP18300 | |
| California | MEDICAID | GR0079700 |
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