Organization
CROWN VALLEY OUTPATIENT SURGICAL CENTER LLC
Active
Other names
Mission Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
NADER MIRHOSENI MD (MEDICAL DIRECTOR)
(949) 367-1006
Entity
Organization
Contact information
Practice address
26921 CROWN VALLEY PKWY STE 110, MISSION VIEJO, CA 92691-6501
(949) 367-1006
Mailing address
26921 CROWN VALLEY PKWY STE 110, MISSION VIEJO, CA 92691-6501
(949) 361-1006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
11/28/2018
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