Organization
MISSION PREP HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
28111 PALOS VERDES DR E, RANCHO PALOS VERDES, CA 90275-5120
(833) 589-5150
(949) 579-2876
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
(949) 579-2876
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191230AP
STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA
01
—
198209767
STATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
01
—
578314
THE JOINT COMMISSION
CA
Enumeration date
07/20/2022
Last updated
07/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us