# MIRAGE SURGERY CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932350238
- **Authorized official:** MELISSA FAVALE (ADMINISTRATOR)
- **Authorized official phone:** (805) 581-5575

## Contact information

- **Practice address:** 71949 HIGHWAY 111, SUITE 300, RANCHO MIRAGE, CA 92270-4826
- **Practice address phone:** (760) 568-2211
- **Mailing address:** 71949 HIGHWAY 111, SUITE 300, RANCHO MIRAGE, CA 92270-4826
- **Mailing address phone:** (760) 568-2211

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2008
- **Last updated:** 10/05/2008