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Organization
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES
Active
Organization
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN (DIRECTOR OF PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(844) 474-4019
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077070
—
CA
Enumeration date
07/02/2006
Last updated
02/12/2025
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