MISSION INTERNAL MEDICAL GROUP, INC.; NPI #1750369708

Contact Information

MISSION INTERNAL MEDICAL GROUP, INC.

27871 MEDICAL CENTER RD
SUITE 200
MISSION VIEJO, CA 92691-6404

Phone: 949-347-8314
Fax: 949-364-5427
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for MISSION INTERNAL MEDICAL GROUP, INC.

NPI # 1750369708

LBN Legal business name MISSION INTERNAL MEDICAL GROUP, INC.

Authorized official DENNIS WOLIN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2006

Last updated 05/24/2010 - About 16 years ago

Identifiers

CA	License #	060000510
CA	Medicaid	SUR01415F

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MISSION INTERNAL MEDICAL GROUP, INC.

Contact Information

Specialty

Endoscopy

NPI Profile & details for MISSION INTERNAL MEDICAL GROUP, INC.

Reviews for MISSION INTERNAL MEDICAL GROUP, INC.