Healthcare Provider Details
I. General information
NPI: 1023049459
Provider Name (Legal Business Name): REXINGER MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27800 MEDICAL CENTER RD SUITE 461
MISSION VIEJO CA
92691-6410
US
IV. Provider business mailing address
27800 MEDICAL CENTER RD SUITE 461
MISSION VIEJO CA
92691-6410
US
V. Phone/Fax
- Phone: 949-364-5600
- Fax: 949-364-2231
- Phone: 949-364-5600
- Fax: 949-364-2231
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
HEDVIG
REXINGER
Title or Position: OFFICE MANAGER
Credential:
Phone: 949-364-5600