90210 SURGERY CENTER – NPI #1386930162
Clinic/Center

90210 SURGERY CENTER is an AHC clinic located in RANCHO MIRAGE, CA. NPPES has assigned the NPI number 1386930162 to 90210 SURGERY CENTER on June 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “90210 SURGERY CENTER” is a dba name, the actual legal business name for this organization is 92270 SURGERY CENTER. 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

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 90210 SURGERY CENTER below.

NPI Profile for
92270 SURGERY CENTER

NPI Number
1386930162
Enumeration Date

(about 15 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
92270 SURGERY CENTER
Doing Business As (dba): 90210 SURGERY CENTER
Primary location
71-511 HWY 111, SUITE E
RANCHO MIRAGE, CA 92270
Phone: (760) 836-0077 Fax: (760) 836-0067
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RENATO CALABRIA
OWNER
Phone: (760) 836-0077
Updated
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)		 CA A43041

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.