Organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Active
Parent organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Other names
PROVIDENCE MISSION HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 364-1400
Mailing address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 364-1400
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
060000146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05S567
MEDICARE PROVIDER NUMBER
CA
Enumeration date
07/20/2009
Last updated
05/09/2025
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