# MISSION VALLEY OUTPATIENT SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447420054
- **Authorized official:** DR. FREDERICK WHITE HAMMOND DDS (OWNER)
- **Authorized official phone:** (619) 298-2200

## Contact information

- **Practice address:** 2878 CAMINO DEL RIO SOUTH, 215, SD, CA 92108
- **Practice address phone:** (619) 298-2200
- **Practice address fax:** (619) 298-2250
- **Mailing address:** 2878 CAMINO DEL RIO SOUTH, 210, SD, CA 92108
- **Mailing address phone:** (619) 298-2200
- **Mailing address fax:** (619) 298-2250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 31922 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 04/21/2011