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Organization
NEWPORT CHILDREN MEDICAL GROUP AT MISSION
Active
Organization
NEWPORT CHILDREN MEDICAL GROUP AT MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA RODRIGUEZ-TOLEDO M. D. (SECRETARY)
(949) 364-8700
Entity
Organization
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 510, MISSION VIEJO, CA 92691-6384
(949) 364-8700
(949) 365-1011
Mailing address
26800 CROWN VALLEY PKWY, SUITE 510, MISSION VIEJO, CA 92691-6384
(949) 364-8700
(949) 365-1011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A109148
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A47947
CA
Other
Enumeration date
04/25/2013
Last updated
10/04/2021
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