Bolt Surgery Center, Llc

LBN: Bolt Surgery Center, Llc
Bolt Surgery Center, Llc is an health care organization with primary practice located at 1124 S Main St Ste 102 , Corona CA 92882-4449. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Bolt Surgery Center, Llc can be contacted via phone (928) 486-6004, or through Morgan, Kenna via phone (928) 486-6004.

Contact Information

Primary practice address
1124 S Main St Ste 102 Corona CA 92882-4449
Phone: (928) 486-6004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Kenna
Phone: (928) 486-6004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1649823964
LBN Legal business name Bolt Surgery Center, Llc
DBA Doing business as
Authorized official Morgan, Kenna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649823964 NPPES
Other 1013954130 NPI

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