MIRAGE SURGERY CENTER NPI 1932350238

NPI Information

NPI: 1932350238
Provider Name: MIRAGE SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1094024

Address:
71949 HIGHWAY 111
SUITE 300
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 568-2211
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MIRAGE SURGERY CENTER is an ambulatory surgical clinic center in Rancho Mirage, CA. MIRAGE SURGERY CENTER NPI is 1932350238. The provider is registered as an organization entity type.

The provider's business location address is:

71949 HIGHWAY 111
SUITE 300
RANCHO MIRAGE, CA
ZIP 92270-826
Phone: (760) 568-2211

The provider's authorized official is Melissa Favale .
The authorized official title is Administrator and has the following contact phone number (805) 581-5575.

The CLIA number assigned to this NPI record is 05D1094024 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2008 and was last updated on 10/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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