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MIRAGE ENDOSCOPY CENTER, L.P.

Surgery Yellow Pages

Rancho Mirage, California

Provider NPI: 1588668503

Organization Information:
Organization Name:  MIRAGE ENDOSCOPY CENTER, L.P.


Practice Location:
39935 VISTA DEL SOL STE 101 RANCHO MIRAGE, CA 92270 US
Tel: 760-837-9210  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA250000789

Other Provider Identifiers:

IssuerNumberStateType
SUR01594FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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