Provider Demographics
NPI:1902978562
Name:MISSION MEDICAL URGENT CARE
Entity type:Organization
Organization Name:MISSION MEDICAL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / M.D
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CZULEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-276-2111
Mailing Address - Street 1:26800 CROWN VALLEY PKWY
Mailing Address - Street 2:STE 150
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8018
Mailing Address - Country:US
Mailing Address - Phone:949-276-2111
Mailing Address - Fax:949-276-2116
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:STE 150
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-276-2111
Practice Address - Fax:949-276-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34446261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care