# CROWN VALLEY OUTPATIENT SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225308257
- **Authorized official:** NADER MIRHOSENI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 367-1006

## Contact information

- **Practice address:** 26921 CROWN VALLEY PKWY STE 110, MISSION VIEJO, CA 92691-6501
- **Practice address phone:** (949) 367-1006
- **Mailing address:** 26921 CROWN VALLEY PKWY STE 110, MISSION VIEJO, CA 92691-6501
- **Mailing address phone:** (949) 361-1006

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 11/28/2018