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Resurgent Head And Neck Surgeons, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
RESURGENT HEAD AND NECK SURGEONS, INC.19226132072020-09-13
Entity TypeOrganization
Provider OrganizationRESURGENT HEAD AND NECK SURGEONS, INC.
Practice Office Address6848 MAGNOLIA AVE STE 220
RIVERSIDE, CA US
Practice Office Telephone9516561500
Practice Office Fax9516561510
Mailing AddressPO BOX 7270
MORENO VALLEY, CA 925527270 US
Business Telephone9516561500
Business Fax9516561510
Authorized OfficialGABRIEL GABARAIN, CEO
4402894827
HPT Codes
CodeLicense NoState
207Y00000X
207YX0007X PRIMARY
193200000X MULTGroup Code
193200000X MULTGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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