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MISSION HILLS SURGICENTER LLC NPI 1164534400


NPI Information

NPI: 1164534400
Provider Name: MISSION HILLS SURGICENTER, LLC

Other Name: MISSION HILLS PAIN TREATMENT CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
25982 PALA
SUITE#280
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 297-3838
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MISSION HILLS SURGICENTER, LLC is an ambulatory surgical clinic center in Mission Viejo, CA. MISSION HILLS SURGICENTER, LLC NPI is 1164534400. The provider is registered as an organization entity type.
The provider Other Name Is Mission Hills Pain Treatment Center.

The provider's business location address is:

25982 PALA
SUITE#280
MISSION VIEJO, CA
ZIP 92691-719
Phone: (949) 297-3838
Fax: (949) 297-3839

The provider's authorized official is Afshin Gerayli .
The authorized official title is Medical Director and has the following contact phone number (949) 297-3838.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/14/2023.


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
1261QA1903XClinic/CenterAmbulatory SurgicalS051767CALIFORNIAYes

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
1S051767OTHERCALIFORNIAMEDICARE ID

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: 4/28/2024

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