CORONA SPECIALTY CARE SURGERY CENTER – NPI #1760740674
Clinic/Center

CORONA SPECIALTY CARE SURGERY CENTER is an AHC clinic located in CORONA, CA. NPPES has assigned the NPI number 1760740674 to CORONA SPECIALTY CARE SURGERY CENTER on April 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORONA SPECIALTY CARE SURGERY CENTER” is a dba name, the actual legal business name for this organization is CORONA PAIN MANAGEMENT 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

The NPI profile was previously updated about 2 years ago on Mar 14, 2024. 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 SPECIALTY CARE SURGERY CENTER below.

NPI Profile for
CORONA PAIN MANAGEMENT CENTER

NPI Number
1760740674
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 PAIN MANAGEMENT CENTER
Doing Business As (dba): CORONA SPECIALTY CARE SURGERY CENTER
Primary location
1810 FULLERTON AVE
SUITE 103
CORONA, CA 92881-3103
Phone: (951) 734-7246 Fax:
Mailing address
31569 CANYON ESTATES DR STE 135
LAKE ELSINORE, CA 92532-0472
Phone: (951) 734-7246 Fax:
Organization Subpart
No
Authorized Official
KHURAM SIAL
PRESIDENT
Phone: (951) 734-7246
Updated
Certification Date
Mar 14, 2024

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.