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Organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Active
Other names
PROVIDENCE MISSION HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization

Contact information

Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
PO BOX 31001-3017, PASADENA, CA 91110-3017

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT30567I
CA
05
ZZT40567I
CA
Enumeration date
05/29/2007
Last updated
05/09/2025
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