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Organization
MISSION VALLEY OUTPATIENT SURGERY CENTER
Active
Organization
MISSION VALLEY OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK WHITE HAMMOND DDS (OWNER)
(619) 298-2200
Entity
Organization
Contact information
Practice address
2878 CAMINO DEL RIO SOUTH, 215, SD, CA 92108
(619) 298-2200
(619) 298-2250
Mailing address
2878 CAMINO DEL RIO SOUTH, 210, SD, CA 92108
(619) 298-2200
(619) 298-2250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
31922
CA
Other
Enumeration date
03/11/2008
Last updated
04/21/2011
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