Organization
CROWN VALLEY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES GRAY RN (ADMIMISTRATOR)
(949) 348-7252
Entity
Organization
Contact information
Practice address
26921 CROWN VALLEY PKWY, 110, MISSION VIEJO, CA 92691-6501
(949) 348-7252
(949) 348-7675
Mailing address
26921 CROWN VALLEY PKWY, 110, MISSION VIEJO, CA 92691-6501
(949) 348-7252
(949) 348-7675
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
06/07/2006
Last updated
09/28/2007
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