| Organization Name: | MISSION ENDOSCOPY CENTER INC |
| NPI Number: | 1033368378 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NADER MIRHOSENI (PRESIDENT) |
| Mailing Address: | 26921 Crown Valley Pkwy Ste 200 Mission Viejo |
| State: | CA US |
| Postal Code: | 926916501 |
| Phone Number: | 9493482900 |
| Fax Number: | 9493480960 |
| NPI Enumeration Date: | 09/11/2008 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |