The Advanced Surgical Institute of Rancho Cucamonga, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE ADVANCED SURGICAL INSTITUTE OF RANCHO CUCAMONGA, LLC

Doing business as

The Advanced Surgical Institute

Practice address

19671 Beach Blvd
Suite 321
Huntington Beach, CA 92648-5901

Phone

(714) 969-2520

Fax

(714) 969-7480

NPI assigned

Jun 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mazin S Al-Hakeem, M.D.

Title

Medical Director

Phone

(909) 373-4380

Specialties & licenses 1

Addresses

Other names 1

• The Advanced Surgical Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1982043428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "SUITE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-373-4380",
            "fax_number": "909-373-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD",
            "address_2": "SUITE 321",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485901",
            "telephone_number": "714-969-2520",
            "fax_number": "714-969-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADVANCED SURGICAL INSTITUTE OF RANCHO CUCAMONGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "AL-HAKEEM",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-373-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Advanced Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.