Mission Valley Outpatient Surgery Center

NPI #1447420054 in Sd, California

Provider Information

NPI Number: 1447420054
Entity Type: Organization
Organization Name: Mission Valley Outpatient Surgery Center
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Mar 11, 2008
Last Updated: Apr 21, 2011

Practice Location

Address: 2878 CAMINO DEL RIO SOUTH
Address 2: 215
City: Sd
State: California
ZIP Code: 92108
Phone: (619) 298-2200

Authorized Official

Name: DR. FREDERICK WHITE HAMMOND, DDS
Title: OWNER
Phone: (619) 298-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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