Basic Information
| Provider Information | |||||||||
| NPI: | 1154599538 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RMC SURGERY CENTER,LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7160 BROCKTON AVE | ||||||||
| Address2: | |||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925062614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517823801 | ||||||||
| FaxNumber: | 9512740455 | ||||||||
| Practice Location | |||||||||
| Address1: | 7117 BROCKTON AVE | ||||||||
| Address2: | |||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516836370 | ||||||||
| FaxNumber: | 9512740455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2008 | ||||||||
| LastUpdateDate: | 04/08/2022 | ||||||||
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| AuthorizedOfficialLastName: | CARPENTER | ||||||||
| AuthorizedOfficialFirstName: | JUDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT, COO | ||||||||
| AuthorizedOfficialTelephone: | 9517823744 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.