OrganizationActive
Mirage Ambulatory Surgery Center, Inc
NPI 1154644193 · Oral and Maxillofacial Surgery Clinic/Center · Rancho Mirage, CA
Provider details
- NPI number
- 1154644193
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Kreizenbeck, President(760) 779-9989
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
39935 Vista Del Sol
Suite 102
Rancho Mirage, CA 92270-3211
Phone: (760) 779-9989
Fax: (760) 779-9710
Approximate (ZIP-level) locationGet directions
Mailing address
39935 Vista Del Sol
Rancho Mirage, CA 92270-3211
Registry dates
- Enumerated
- 2010-03-04
- Last updated
- 2010-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.