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Organization
MISSION INTERNAL MEDICAL FROUP, INC.
Active
Organization
MISSION INTERNAL MEDICAL FROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA FELCE (CREDENTIALING MANAGER)
(949) 282-1671
Entity
Organization
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 275, MISSION VIEJO, CA 92691-6384
(949) 542-8002
(949) 542-7337
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
363LA2200X
Adult Health Nurse Practitioner
Primary
579745
CA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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