ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION NPI 1558511881

NPI Information

ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION is an ambulatory surgical clinic center in Mission Viejo, CA. ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION NPI is 1558511881. The provider is registered as an organization entity type.
The provider Is Doing Business As Ophthalmology Medical Center.

The provider's business location address is:

26701 CROWN VALLEY PKWY
MISSION VIEJO, CA
ZIP 92691-356
Phone: (949) 582-1090
Fax: (949) 582-2892

The provider's authorized official is Ribhi K. Ghosheh .
The authorized official title is Director, President, Physician and has the following contact phone number (949) 582-1090.

The CLIA number assigned to this NPI record is 05D0859730 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 4/7/2015.

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:

Other Identifiers

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