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CROWN VALLEY INTERNAL MEDICAL GROUP NPI 1114100435


NPI Information

NPI: 1114100435
Provider Name: CROWN VALLEY INTERNAL MEDICAL GROUP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
26732 CROWN VALLEY PKWY STE 511
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-1800
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CROWN VALLEY INTERNAL MEDICAL GROUP is a nephrology internal medicine in Mission Viejo, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CROWN VALLEY INTERNAL MEDICAL GROUP NPI is 1114100435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26732 CROWN VALLEY PKWY STE 511
MISSION VIEJO, CA
ZIP 92691-525
Phone: (949) 364-1800
Fax: (949) 364-1877

The provider's authorized official is Mitchell I Streger .
The authorized official title is Ceo and has the following contact phone number (949) 364-1800.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/11/2007.


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
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G112200MEDICAIDCALIFORNIA
2A38277MEDICARE UPINCALIFORNIA
3WG11220BMEDICARE PINCALIFORNIA
4W1406OTHERCALIFORNIAMEDICARE GROUP

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: 11/14/2023

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