MISSION NEUROLOGY MEDICAL GROUP NPI 1629153143

NPI Information

MISSION NEUROLOGY MEDICAL GROUP is a specialist in Mission Viejo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISSION NEUROLOGY MEDICAL GROUP NPI is 1629153143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27800 MEDICAL CENTER RD
SUITE 263
MISSION VIEJO, CA
ZIP 92691-447
Phone: (949) 365-8877
Fax: (949) 365-8878

The provider's authorized official is Thomas Ludema .
The authorized official title is Owner and has the following contact phone number (949) 365-8877.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/6/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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