| Mission Viejo Family Medical Center | |
|
27001 La Paz Rd Suite #294 Mission Viejo CA 92691-5502 | |
| (949) 588-8775 | |
| (949) 588-9005 |
| Full Name | Mission Viejo Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 27001 La Paz Rd, Mission Viejo, California |
| Authorized Official Name and Position | David Scot Zimmerman (PRESIDENT) |
| Authorized Official Contact | 9495888775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Viejo Family Medical Center 27001 La Paz Rd Suite #294 Mission Viejo CA 92691-5502 Ph: (949) 588-8775 | Mission Viejo Family Medical Center 27001 La Paz Rd Suite #294 Mission Viejo CA 92691-5502 Ph: (949) 588-8775 |
| NPI Number | 1962575068 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/21/2008 |
| Medicare PECOS PAC ID | 4880621754 |
|---|---|
| Medicare Enrollment ID | O20050721000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962575068 | NPI | - | NPPES |
| GR0042990 | Medicaid | CA | |
| ZZZ06326Z | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A44517 (California) | Primary |
| Provider Name | Bruce M Seligsohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992745608 PECOS PAC ID: 2365603073 Enrollment ID: I20120405000197 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |