CORONA SUMMIT SURGICAL CENTER – NPI #1356616064
Clinic/Center

CORONA SUMMIT SURGICAL CENTER is an AHC clinic located in CORONA, CA. NPPES has assigned the NPI number 1356616064 to CORONA SUMMIT SURGICAL CENTER on March 13, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORONA SUMMIT SURGICAL CENTER” is a dba name, the actual legal business name for this organization is CORONA SURGICAL LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jun 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORONA SUMMIT SURGICAL CENTER below.

NPI Profile for
CORONA SURGICAL LLC

NPI Number
1356616064
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORONA SURGICAL LLC
Doing Business As (dba): CORONA SUMMIT SURGICAL CENTER
Primary location
2370 ANSELMO DRIVE
CORONA, CA 92879
Phone: (951) 736-0137 Fax: (951) 734-3597
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRANK SZCZESNIAK
ADMINISTRATOR
Phone: (951) 736-0137
Updated
Certification Date
Jun 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.