Mission Community Medical Corporation in Orange - Specialist
Mission Community Medical Corporation - NPI 1871648303
Mission Community Medical Corporation is a Specialist in Orange, California. Mission Community Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mission Community Medical Corporation is 1871648303. The last update date is 2020-08-22.
Mission Community Medical Corporation's current location address is 775 N Tustin St, Orange, California. You can contact this provider via phone number 7146288888 and fax number 7145382124. The mailing address for Mission Community Medical Corporation is 775 N Tustin St, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mission Community Medical Corporation |
|---|---|
| Address | 775 N Tustin St, Orange, California |
| Phone Number | 7146288888 |
| Fax Number | 7145382124 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Salamatipour Sohrab |
| Credentials | MD |
| Telephone Number | 7146288888 |
NPI Number Detail
| NPI Number | 1871648303 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 775 N Tustin St |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928677128 |
| Phone Number | 7146288888 |
| Fax Number | 7145382124 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A63781 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0089700 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mission Community Medical Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Mission Community Medical Corporation has been assigned the NPI (National Provider Identifier) 1871648303. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mission Community Medical Corporation?
The Mission Community Medical Corporation is physically situated at 775 N Tustin St, in the city of Orange, state of CA, with the postal code 928677128.
What is the Mission Community Medical Corporation's specialty and taxonomy code?
The Mission Community Medical Corporation's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871648303 to Mission Community Medical Corporation?
The Mission Community Medical Corporation received its 1871648303 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details related to Mission Community Medical Corporation most recently updated or revised?
The information pertaining to Mission Community Medical Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.