Mission Internal Medical Group, Inc.

LBN: Mission Internal Medical Group, Inc.
Mission Internal Medical Group, Inc. is an health care organization with primary practice located at 26800 Crown Valley Pkwy #100, Mission Viejo CA 92691-6306. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Mission Internal Medical Group, Inc. can be contacted via phone (949) 364-6000, or through Wolin, Dennis via phone (949) 282-1600.

Contact Information

Primary practice address
26800 Crown Valley Pkwy #100 Mission Viejo CA 92691-6306
Phone: (949) 364-6000
Fax: (949) 364-9561
Website:
Map and Directions
Authorized official contact:
Name: Wolin, Dennis
Phone: (949) 282-1600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1902884174
LBN Legal business name Mission Internal Medical Group, Inc.
DBA Doing business as
Authorized official Wolin, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated May 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902884174 NPPES
California MEDICAID GR0089532
California MEDICAID ZZZ71959Z

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