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Organization
MISSION CENTER FOR LONGEVITY & AESTHETIC MEDICINE
Active
Organization
MISSION CENTER FOR LONGEVITY & AESTHETIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALAN HEINRICH M.D., FACS (PRESIDENT OF THE BOARD)
(949) 364-2440
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY STE 250, MISSION VIEJO, CA 92691-8000
(949) 364-2440
(949) 364-2778
Mailing address
26730 CROWN VALLEY PKWY STE 250, MISSION VIEJO, CA 92691-8000
(949) 364-2440
(949) 364-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A64307
CA
207R00000X
Internal Medicine Physician
G69073
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
G66486
CA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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