# MISSION MEDICAL GROUP OF THE INLAND EMPIRE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023180189
- **Authorized official:** MRS. LINDA HERNANDEZ (ASSOC VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (858) 467-7640

## Contact information

- **Practice address:** 9275 SKY PARK CT STE 400, SAN DIEGO, CA 92123-4386
- **Practice address phone:** (858) 467-7640
- **Practice address fax:** (858) 467-7649
- **Mailing address:** 9275 SKY PARK CT STE 400, SAN DIEGO, CA 92123-4386
- **Mailing address phone:** (858) 467-7640
- **Mailing address fax:** (858) 467-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020