Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolt Surgery Center, LLC

Organization Pain Medicine Physician · NPI 1649823964

Bolt Surgery Center, LLC is a Pain Medicine Physician in Corona, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1124 S Main St Ste 102
Corona, CA 92882-4449
Phone: (928) 486-6004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1649823964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenna Morgan — Nurse Manager · (928) 486-6004
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 17, 2019
Mailing address1124 S Main St Ste 102, Corona, CA 92882-4449

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