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MISSION SURGICAL CLINIC INC. NPI 1457300436


NPI Information

NPI: 1457300436
Provider Name: MISSION SURGICAL CLINIC, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
7300 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 278-8870
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MISSION SURGICAL CLINIC, INC. is a surgery in Riverside, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MISSION SURGICAL CLINIC, INC. NPI is 1457300436. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7300 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504-849
Phone: (951) 278-8870
Fax: (951) 278-8913

The provider's authorized official is Michael S. Chin .
The authorized official title is President and has the following contact phone number (951) 278-8870.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 12/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryG56529CALIFORNIAYes
2208600000XSurgery20A9434CALIFORNIANo
3208600000XSurgeryG75730CALIFORNIANo
4208600000XSurgery20A10803CALIFORNIANo
5363AS0400XPhysician AssistantSurgicalPA16804CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G565290MEDICAIDCALIFORNIA

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: 11/14/2023

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