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General NPI Number Information
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NPI Number | 1164534400
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Entity Type | Organization
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Legal Business Name | MISSION HILLS SURGICENTER, LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 25982 PALA SUITE#280
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6719
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Country | US
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Telephone | 949-297-3838
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Fax | 949-297-3839
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Provider Business Mailing Address
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Address Line | 25982 PALA STE 280
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6729
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Country | US
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Telephone | 949-297-3838
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Fax | 949-297-3839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANNA GERAYLI
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Credential |
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Telephone | 949-230-5776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | S051767
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License Number State | CA
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