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Organization

MISSION VIEJO MEDICAL CLINIC

Active
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Organization

MISSION VIEJO MEDICAL CLINIC

Active
Other names
Laguna Niguel Family Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM FRANCIS LYON M. D. (PRESIDENT)
(949) 495-7144
Entity
Organization

Contact information

Practice address
30110 CROWN VALLEY PKWY, LAGUNA NIGUEL, CA 92677-2043
(949) 496-3013
(949) 495-0270
Mailing address
30110 CROWN VALLEY PKWY, LAGUNA NIGUEL, CA 92677-2043
(949) 496-3013
(949) 495-0270

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C27618
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C276180
CA
01
C27618
STATE LICENSE
CA
01
ZZZ12501Z
BLUE SHIELD
CA
Enumeration date
11/09/2006
Last updated
08/25/2007
Update your record

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