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NEWPORT CHILDREN MEDICAL GROUP AT MISSION NPI 1154765709


NPI Information

NPI: 1154765709
Provider Name: NEWPORT CHILDREN MEDICAL GROUP AT MISSION
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2064377

Address:
26800 CROWN VALLEY PKWY
SUITE 510
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-8700
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NEWPORT CHILDREN MEDICAL GROUP AT MISSION is a pediatrics in Mission Viejo, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NEWPORT CHILDREN MEDICAL GROUP AT MISSION NPI is 1154765709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26800 CROWN VALLEY PKWY
SUITE 510
MISSION VIEJO, CA
ZIP 92691-384
Phone: (949) 364-8700
Fax: (949) 365-1011

The provider's authorized official is Johanna Rodriguez-toledo .
The authorized official title is Secretary and has the following contact phone number (949) 364-8700.

The CLIA number assigned to this NPI record is 05D2064377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2013 and was last updated on 10/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineA47947CALIFORNIANo
2208000000XPediatricsA109148CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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