Mission Neurology Medical Group

LBN: Mission Neurology Medical Group
Mission Neurology Medical Group is an health care organization with primary practice located at 27800 Medical Center Rd Suite 263, Mission Viejo CA 92691-6447. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mission Neurology Medical Group can be contacted via phone (949) 365-8877, or through Ludema, Thomas via phone (949) 365-8877.

Contact Information

Primary practice address
27800 Medical Center Rd Suite 263 Mission Viejo CA 92691-6447
Phone: (949) 365-8877
Fax: (949) 365-8878
Website:
Map and Directions
Authorized official contact:
Name: Ludema, Thomas Doctor of Medicine (MD)
Phone: (949) 365-8877

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1629153143
LBN Legal business name Mission Neurology Medical Group
DBA Doing business as
Authorized official Ludema, Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 6th, 2012 - about 13 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 1629153143 NPPES
California MEDICAID 00G531350

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