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Organization
MISSION PEDIATRIC MEDICAL CLINIC, INC.
Active
Organization
MISSION PEDIATRIC MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUKE D KIM M.D. (PRESIDENT)
(949) 364-6040
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD STE 116, MISSION VIEJO, CA 92691-6407
(949) 364-6040
(949) 364-0502
Mailing address
27800 MEDICAL CENTER RD STE 116, MISSION VIEJO, CA 92691-6407
(949) 364-6040
(949) 364-0502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A24150
CA
Other
Enumeration date
11/22/2006
Last updated
04/26/2019
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