Executive Medical & Surgical Assoc. Inc.
NPI #1609887322 in Colton, California
Provider Information
- NPI Number
- 1609887322
- Entity Type
- Organization
- Organization Name
- Executive Medical & Surgical Assoc. Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 900 E WASHINGTON ST STE 200
- City
- Colton
- State
- California
- ZIP Code
- 92324-4192
- Phone
- (909) 824-2422
Authorized Official
- Name
- DARREN L BERGEY, M.D.
- Title
- PRESIDENT
- Phone
- (909) 824-2422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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