Organization
SOUTH COUNTY GASTRO MEDICAL CLINIC PC
Active
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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