Organization
MISSION VALLEY OUTPATIENT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK WHITE HAMMOND DDS (OWNER)
(619) 298-2200
Entity
Organization
Contact information
Practice address
2878 CAMINO DEL RIO SOUTH, 215, SD, CA 92108
(619) 298-2200
(619) 298-2250
Mailing address
2878 CAMINO DEL RIO SOUTH, 210, SD, CA 92108
(619) 298-2200
(619) 298-2250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
31922
CA
Other
Enumeration date
03/11/2008
Last updated
04/21/2011
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