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Organization
MISSION INTERNAL MEDICAL GROUP, INC.
Active
Organization
MISSION INTERNAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WOLIN (CEO)
(949) 282-1617
Entity
Organization
Contact information
Practice address
27871 MEDICAL CENTER RD, SUITE 200, MISSION VIEJO, CA 92691-6404
(949) 347-8314
(949) 542-8710
Mailing address
26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
(949) 282-1671
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089532
—
CA
Enumeration date
03/28/2012
Last updated
03/28/2012
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