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Organization
CROWN VALLEY INTERNAL MEDICAL GROUP
Active
Organization
CROWN VALLEY INTERNAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL I STREGER M.D. (CEO)
(949) 364-1800
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 511, MISSION VIEJO, CA 92691-8525
(949) 364-1800
(949) 364-1877
Mailing address
26732 CROWN VALLEY PKWY, SUITE 511, MISSION VIEJO, CA 92691-6306
(949) 364-1800
(949) 364-1877
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G112200
—
CA
01
—
W1406
MEDICARE GROUP
CA
Enumeration date
12/10/2007
Last updated
12/11/2007
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