Organization
GUBBI T MRUTHYUNJAYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA CORNEJO (BILLER)
(949) 364-2229
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 300, MISSION VIEJO, CA 92691-6049
(949) 364-2229
(949) 364-1104
Mailing address
27800 MEDICAL CENTER RD, SUITE 300, MISSION VIEJO, CA 92691-6049
(949) 364-2229
(949) 364-1104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A24744
CA
Other
Enumeration date
12/01/2011
Last updated
12/19/2011
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