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Organization
MISSION SURGICAL GROUP
Active
Organization
MISSION SURGICAL GROUP
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (CHIEF EXECUTIVE OFFICER)
(714) 456-8721
Entity
Organization
Contact information
Practice address
3660 PARK SIERRA DR, RIVERSIDE, CA 92505-3081
(951) 278-8870
(951) 278-8913
Mailing address
200 S MANCHESTER AVE, SUITE #315, ORANGE, CA 92868-3217
(714) 456-2986
(714) 456-8351
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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