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Mission Viejo Medical Clinic
Clinic/Center in Laguna Niguel, California
NPI 1770653289

Mission Viejo Medical Clinic is a Clinic/Center based in Laguna Niguel, CA. Mission Viejo Medical Clinic practices in Laguna Niguel, CA. The NPI Number for Mission Viejo Medical Clinic is 1770653289 and holds a License No. C27618 (California).

The current practice location address for Mission Viejo Medical Clinic is 30110 Crown Valley Pkwy, Laguna Niguel, CA and can be reached out via phone at 949-496-3013 and via fax at 949-495-0270.

Location: 30110 Crown Valley Pkwy, Laguna Niguel, CA, 92677-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770653289
Provider Name
Mission Viejo Medical Clinic
Credential
Provider Entity Type
Organization
Address
30110 Crown Valley Pkwy, Laguna Niguel, CA, 92677-2043
Phone Number
949-496-3013
Fax Number
949-495-0270
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C276180 05 CA
C27618 01 CA STATE LICENSE
ZZZ12501Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
30110 Crown Valley Pkwy
City
Laguna Niguel
State
California
Zip
92677-2043
Phone Number
949-496-3013
Fax Number
949-495-0270
person
Provider Business Mailing Address Details
Address
30110 Crown Valley Pkwy
City
Laguna Niguel
State
California
Zip
92677-2043
Phone Number
949-496-3013
Fax Number
949-495-0270
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
C27618 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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