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ONE MISSION MEDICAL INC NPI 1548856586


NPI Information

NPI: 1548856586
Provider Name: ONE MISSION MEDICAL INC

Doing Business As: ONE MISSION MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2224754

Address:
10200 SEPULVEDA BLVD STE 140
MISSION HILLS, CA
ZIP 91345
Phone: (818) 610-6536
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ONE MISSION MEDICAL INC is a family medicine in Mission Hills, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ONE MISSION MEDICAL INC NPI is 1548856586. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As One Mission Medical Group.

The provider's business location address is:

10200 SEPULVEDA BLVD STE 140
MISSION HILLS, CA
ZIP 91345-323
Phone: (818) 610-6536
Fax: (818) 450-0133

The provider's authorized official is Luis Manuel Origel .
The authorized official title is President/ceo and has the following contact phone number (818) 610-6536.

The CLIA number assigned to this NPI record is 05D2224754 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2020 and was last updated on 4/13/2023.


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
1207Q00000XFamily MedicineYes

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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