Provider Demographics
NPI:1093047870
Name:CORONA SURGICAL CENTER INC.
Entity Type:Organization
Organization Name:CORONA SURGICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RIFAAT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-371-9200
Mailing Address - Street 1:381 CORPORATE TERRACE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-6028
Mailing Address - Country:US
Mailing Address - Phone:951-371-9200
Mailing Address - Fax:951-371-9400
Practice Address - Street 1:381 CORPORATE TERRACE
Practice Address - Street 2:SUITE B
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-6028
Practice Address - Country:US
Practice Address - Phone:951-371-9200
Practice Address - Fax:951-371-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical