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Organization

RANCHO MIRAGE SURGERY CENTER, LLC

Active
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Organization

RANCHO MIRAGE SURGERY CENTER, LLC

Active
Other names
Rancho Mirage Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
LILLI A MANDELIK (ADMINISTRATOR)
(760) 699-6500
Entity
Organization

Contact information

Practice address
35-800 BOB HOPE DRIVE, SUITE 100, RANCHO MIRAGE, CA 92270-1722
(760) 699-6500
(760) 699-6555
Mailing address
35-800 BOB HOPE DRIVE, SUITE 215, RANCHO MIRAGE, CA 92270-1722
(760) 699-6500
(760) 699-6555

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL

Other

Enumeration date
03/27/2008
Last updated
01/15/2009
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