Mirage Endoscopy Center, L.P.

LBN: Mirage Endoscopy Center, L.P.
Mirage Endoscopy Center, L.P. is an health care organization with primary practice located at 39935 Vista Del Sol Ste 101, Rancho Mirage CA 92270-3211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mirage Endoscopy Center, L.P. can be contacted via phone (760) 837-9210, or through Brody, Ann via phone (760) 837-9210.

Contact Information

Primary practice address
39935 Vista Del Sol Ste 101 Rancho Mirage CA 92270-3211
Phone: (760) 837-9210
Fax: (760) 837-9232
Website:
Map and Directions
Authorized official contact:
Name: Brody, Ann
Phone: (760) 837-9210

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 250000789 California

Profile Details

NPI number 1588668503
LBN Legal business name Mirage Endoscopy Center, L.P.
DBA Doing business as
Authorized official Brody, Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588668503 NPPES
California MEDICAID SUR01594F

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