# RANCHO MIRAGE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rancho Mirage Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154593481
- **Authorized official:** LILLI A MANDELIK (ADMINISTRATOR)
- **Authorized official phone:** (760) 699-6500

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 01/15/2009