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MISSION PEDIATRIC MEDICAL CLINIC INC. NPI 1538234646


NPI Information

NPI: 1538234646
Provider Name: MISSION PEDIATRIC MEDICAL CLINIC, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
27800 MEDICAL CENTER RD STE 116
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-6040
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MISSION PEDIATRIC MEDICAL CLINIC, INC. is a pediatrics in Mission Viejo, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MISSION PEDIATRIC MEDICAL CLINIC, INC. NPI is 1538234646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27800 MEDICAL CENTER RD STE 116
MISSION VIEJO, CA
ZIP 92691-407
Phone: (949) 364-6040
Fax: (949) 364-0502

The provider's authorized official is Duke D Kim .
The authorized official title is President and has the following contact phone number (949) 364-6040.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 4/26/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA24150CALIFORNIAYes

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: 4/28/2024

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