Healthcare Provider Details

I. General information

NPI: 1891301065
Provider Name (Legal Business Name): SEVEN OAKS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E HIGHLAND AVE
SAN BERNARDINO CA
92404-3803
US

IV. Provider business mailing address

1801 ORANGE TREE LN STE 240
REDLANDS CA
92374-4587
US

V. Phone/Fax

Practice location:
  • Phone: 909-557-1600
  • Fax:
Mailing address:
  • Phone: 909-557-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN C STEINMANN
Title or Position: PHYSICIAN
Credential: MD
Phone: 909-647-5277