Organization
MISSION SURGICAL GROUP
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
2250 S MAIN ST, SUITE 206, CORONA, CA 92882-2534
(951) 278-8870
(951) 278-8913
Mailing address
PO BOX 512347, LOS ANGELES, CA 90051-0347
(714) 456-3856
(714) 456-6216
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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