INLAND BREAST AND BODY SURGERY CENTER – NPI #1689339186
Clinic/Center

INLAND BREAST AND BODY SURGERY CENTER is an AHC clinic located in ONTARIO, CA. NPPES has assigned the NPI number 1689339186 to INLAND BREAST AND BODY SURGERY CENTER on November 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 INLAND BREAST AND BODY SURGERY CENTER below.

NPI Profile for
INLAND BREAST AND BODY SURGERY CENTER

NPI Number
1689339186
Enumeration Date

(more than 4 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
INLAND BREAST AND BODY SURGERY CENTER
Primary location
3333 CONCOURS ST
BUILDING #1 SUITE 1100
ONTARIO, CA 91764
Phone: (909) 563-3015 Fax:
Mailing address
1541 MARION RD
REDLANDS, CA 92374-6332
Phone: (909) 563-3015 Fax:
Organization Subpart
No
Authorized Official
ZACHARY ANDREASEN
DIRECTOR OF NURSING
Phone: (909) 844-5837
Updated
Certification Date
Nov 01, 2021

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.