Provider Demographics
NPI:1073996252
Name:CLAREMONT SURGICAL CENTER, INC.
Entity Type:Organization
Organization Name:CLAREMONT SURGICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BIJIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADIHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-399-1900
Mailing Address - Street 1:995 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3304
Mailing Address - Country:US
Mailing Address - Phone:909-399-1900
Mailing Address - Fax:909-399-1983
Practice Address - Street 1:995 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3304
Practice Address - Country:US
Practice Address - Phone:909-399-1900
Practice Address - Fax:909-399-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical