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Organization

CROWN VALLEY INTERNAL MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL I STREGER M.D. (CEO)
(949) 364-1800
Entity
Organization

Contact information

Practice address
26732 CROWN VALLEY PKWY STE 511, MISSION VIEJO, CA 92691-8525
(949) 364-1800
(949) 364-1877
Mailing address
26732 CROWN VALLEY PKWY, SUITE 511, MISSION VIEJO, CA 92691-6306
(949) 364-1800
(949) 364-1877

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G112200
CA
01
W1406
MEDICARE GROUP
CA
Enumeration date
12/10/2007
Last updated
12/11/2007
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