Healthcare Provider Details

I. General information

NPI: 1356685457
Provider Name (Legal Business Name): ZAHRA SURGERY CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28975 OLD TOWN FRONT ST SUITE 100
TEMECULA CA
92590-2801
US

IV. Provider business mailing address

28975 OLD TOWN FRONT ST SUITE 100
TEMECULA CA
92590-2801
US

V. Phone/Fax

Practice location:
  • Phone: 951-719-3111
  • Fax: 951-297-2232
Mailing address:
  • Phone: 951-719-3111
  • Fax: 951-297-2232

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: MRS. JUDITH ELLIS HOPKINS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 310-953-5991