MEDICARE: AURORA SURGERY CENTER, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center		CA

General Provider Information

NPI Number	:	1891870986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA SURGERY CENTER, L.P.

Provider Business Mailing Address
First Line	:	73950 ALESSANDRO DR
Second Line	:	SUITE 1
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3637
Country	:	US
Telephone Number	:	760-568-5381
Fax Number	:	760-568-3286

Provider Business Practice Location Address
First Line	:	73950 ALESSANDRO DR
Second Line	:	SUITE 1
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3637
Country	:	US
Telephone Number	:	760-568-5381
Fax Number	:	760-568-3286

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CRAIG STEVEN ROSENBLUM
Credential	:	M.D.
Telephone Number	:	760-568-5381

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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