Organization
SOUTH COUNTY GASTRO MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADER MIRHOSENI MD (CEO)
(949) 348-2900
Entity
Organization
Contact information
Practice address
26691 PLAZA STE 150, MISSION VIEJO, CA 92691-6347
(949) 348-2900
Mailing address
26691 PLAZA STE 150, MISSION VIEJO, CA 92691-6347
(949) 348-2900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/08/2023
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