INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC (NPI# 1083070494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083070494 |
| Entity Type | Organization |
| Organization Name | INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC |
| Practice Address |
1902 Fullerton Ave Suite 101 Corona CA 92881-3112 |
| Practice Telephone | 3107280494 |
| Mailing Telephone | 3107280494 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. MICHAEL SEDRAK (OWNER) |
| Authorized Official Telephone | 3107280494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1902 FULLERTON AVE SUITE 101 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897697 | Circle City Surgery Center | Clinic/Center | 1810 Fullerton Ave Ste 103, Corona, CA 92881-3103 | 2020-03-26 |
| 1073986527 | Corona Summit Surgery Center | Clinic/Center | 2370 Anselmo Dr, Corona, CA 92879-7109 | 2015-11-05 |
| 1902234230 | Mainbridge Surgery Center Inc. | Clinic/Center | 400 E Rincon St, Suite 107, Corona, CA 92879-1389 | 2013-10-23 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| 1922385350 | Inland Empire Surgical Center Lp | Clinic/Center | 381 Corporate Terrace Cir, Corona, CA 92879-6028 | 2011-11-14 |
| 1093047870 | Corona Surgical Center Inc. | Clinic/Center | 381 Corporate Terrace, Suite B, Corona, CA 92879-6028 | 2010-02-04 |
| 1760043426 | Rmc Surgery Center Inc | Clinic/Center | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2019-06-24 |
| 1770023814 | Corona Surgery Center, Inc | Clinic/Center | 400 E Rincon St, Suite 107, Corona, CA 92879-1389 | 2017-03-07 |
| 1760740674 | Corona Pain Management Center | Clinic/Center | 1810 Fullerton Ave, Suite 103, Corona, CA 92881-3103 | 2012-04-27 |
| 1902042658 | Corona Outpatient Surgicenter, LLC | Clinic/Center | 1124 S Main St, # 101, Corona, CA 92882-4449 | 2008-12-31 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.