| Organization Name: | ROCHESTER IMPERIAL SURGICAL CENTER LLC |
| NPI Number: | 1386064624 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANJOY BANERJEE (OWNER) |
| Mailing Address: | 36243 Inland Valley Dr Ste 10 Wildomar |
| State: | CA US |
| Postal Code: | 925959549 |
| Phone Number: | 9517357246 |
| Fax Number: | 9512689516 |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |