Organization
MEMORIALCARE MEDICAL GROUP, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
MemorialCare Medical Group - Mission Viejo - Crown Valley Parkway
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
26991 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6528
(949) 582-2002
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A31048
CA
Other
Enumeration date
02/08/2007
Last updated
04/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up