GUBBI T MRUTHYUNJAYA NPI 1558639815

NPI Information

NPI: 1558639815
Provider Name: GUBBI T MRUTHYUNJAYA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
27800 MEDICAL CENTER RD
SUITE 300
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-2229
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GUBBI T MRUTHYUNJAYA is a primary care clinic center in Mission Viejo, CA. GUBBI T MRUTHYUNJAYA NPI is 1558639815. The provider is registered as an organization entity type.

The provider's business location address is:

27800 MEDICAL CENTER RD
SUITE 300
MISSION VIEJO, CA
ZIP 92691-049
Phone: (949) 364-2229
Fax: (949) 364-1104

The provider's authorized official is Alejandra Cornejo .
The authorized official title is Biller and has the following contact phone number (949) 364-2229.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/19/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A24744	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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