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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 A. WOLIN (CEO)
(949) 282-1600
Entity
Organization
Contact information
Practice address
27882 FORBES RD, SUITE 110, LAGUNA NIGUEL, CA 92677-1267
(949) 364-2955
Mailing address
26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
(949) 282-1600
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
01/04/2012
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