# ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION
- **Other names:** OPHTHALMOLOGY MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558511881
- **Legal business name:** ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION
- **Authorized official:** DR. RIBHI K. GHOSHEH M.D. (DIRECTOR, PRESIDENT, PHYSICIAN)
- **Authorized official phone:** (949) 582-1090

## Contact information

- **Practice address:** 26701 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6356
- **Practice address phone:** (949) 582-1090
- **Practice address fax:** (949) 582-2892
- **Mailing address:** 26701 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6356
- **Mailing address phone:** (949) 582-1090
- **Mailing address fax:** (949) 582-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A035270 | CA | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 04/07/2015