Mission Ob/Gyn Medical Group, Inc

LBN: Mission Ob/Gyn Medical Group, Inc
Mission Ob/Gyn Medical Group, Inc is an health care organization with primary practice located at 665 Camino De Los Mares Ste 303-A, San Clemente CA 92673-2859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mission Ob/Gyn Medical Group, Inc can be contacted via phone (949) 364-1040, or through Miller, Kurt D via phone (949) 364-1040.

Contact Information

Primary practice address
665 Camino De Los Mares Ste 303-A San Clemente CA 92673-2859
Phone: (949) 364-1040
Fax: (949) 365-7037
Website:
Map and Directions
Authorized official contact:
Name: Miller, Kurt D Doctor of Medicine (MD)
Phone: (949) 364-1040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X California

Profile Details

NPI number 1548365786
LBN Legal business name Mission Ob/Gyn Medical Group, Inc
DBA Doing business as
Authorized official Miller, Kurt D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 11th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548365786 NPPES
California MEDICAID GR0071231

Popular Providers