Healthcare Provider Details

I. General information

NPI: 1447194030
Provider Name (Legal Business Name): MISSION SURGICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 MAGNOLIA AVE STE 100
RIVERSIDE CA
92504-3849
US

IV. Provider business mailing address

PO BOX 2828
CORONA CA
92878-2828
US

V. Phone/Fax

Practice location:
  • Phone: 951-278-8870
  • Fax:
Mailing address:
  • Phone: 951-278-8870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO VEGA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 951-278-8870