Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirage Ambulatory Surgery Center, Inc

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1154644193

Mirage Ambulatory Surgery Center, Inc is an Oral and Maxillofacial Surgery Clinic/Center in Rancho Mirage, California. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39935 Vista Del Sol Ste 102
Rancho Mirage, CA 92270-3211
Phone: (760) 779-9989
Fax: (760) 779-9710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1154644193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Kreizenbeck — President · (760) 779-9989
NPI enumeratedMarch 4, 2010
Last updated in NPPESMarch 4, 2010
Mailing address39935 Vista Del Sol, Suite 102, Rancho Mirage, CA 92270-3211

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