# MISSION INTERNAL MEDICAL FROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770858441
- **Authorized official:** MARCIA FELCE (CREDENTIALING MANAGER)
- **Authorized official phone:** (949) 282-1671

## Contact information

- **Practice address:** 26800 CROWN VALLEY PKWY, SUITE 275, MISSION VIEJO, CA 92691-6384
- **Practice address phone:** (949) 542-8002
- **Practice address fax:** (949) 542-7337
- **Mailing address:** 26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
- **Mailing address phone:** (949) 282-1671
- **Mailing address fax:** (949) 367-0518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 579745 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2012
- **Last updated:** 03/14/2012