Mission Community Medical Corporation

LBN: Mission Community Medical Corporation
Mission Community Medical Corporation is an health care organization with primary practice located at 775 N Tustin St , Orange CA 92867-7128. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mission Community Medical Corporation can be contacted via phone (714) 628-8888, or through Salamatipour, Sohrab via phone (714) 628-8888.

Contact Information

Primary practice address
775 N Tustin St Orange CA 92867-7128
Phone: (714) 628-8888
Fax: (714) 538-2124
Website:
Map and Directions
Authorized official contact:
Name: Salamatipour, Sohrab Doctor of Medicine (MD)
Phone: (714) 628-8888

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A63781 California

Profile Details

NPI number 1871648303
LBN Legal business name Mission Community Medical Corporation
DBA Doing business as
Authorized official Salamatipour, Sohrab Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871648303 NPPES
California MEDICAID GR0089700

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