Organization
MISSION TRAUMA SURGICAL MEDICAL GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE HANSEN (BUSINESS ADMINISTRATOR)
(949) 364-1007
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-6057
Mailing address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-6057
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
09/25/2008
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