Provider Demographics
NPI:1033368378
Name:MISSION ENDOSCOPY CENTER INC
Entity type:Organization
Organization Name:MISSION ENDOSCOPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRHOSENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-348-2900
Mailing Address - Street 1:28241 CROWN VALLEY PKWY
Mailing Address - Street 2:#629
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1400
Mailing Address - Country:US
Mailing Address - Phone:949-348-2900
Mailing Address - Fax:949-348-0960
Practice Address - Street 1:26921 CROWN VALLEY PKWY
Practice Address - Street 2:STE 200
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6501
Practice Address - Country:US
Practice Address - Phone:949-348-2900
Practice Address - Fax:949-348-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical