MISSION INTERNAL MEDICAL GROUP INC. NPI 1902884174

NPI Information

NPI: 1902884174
Provider Name: MISSION INTERNAL MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
26800 CROWN VALLEY PKWY
#100
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-6000
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MISSION INTERNAL MEDICAL GROUP, INC. is a multi-specialty clinic center in Mission Viejo, CA. MISSION INTERNAL MEDICAL GROUP, INC. NPI is 1902884174. The provider is registered as an organization entity type.

The provider's business location address is:

26800 CROWN VALLEY PKWY
#100
MISSION VIEJO, CA
ZIP 92691-306
Phone: (949) 364-6000
Fax: (949) 364-9561

The provider's authorized official is Dennis Wolin .
The authorized official title is Ceo and has the following contact phone number (949) 282-1600.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 5/24/2010.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GR0089532	MEDICAID	CALIFORNIA
2	W890	MEDICARE PIN	CALIFORNIA
3	ZZZ71959Z	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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