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
430 SILVER SPUR RD STE 202, RANCHO PALOS VERDES, CA 90275-3571
(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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/11/2025
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