Healthcare Provider Details

I. General information

NPI: 1164099792
Provider Name (Legal Business Name): N JAUREGUI PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27725 SANTA MARGARITA PKWY STE 220
MISSION VIEJO CA
92691-6707
US

IV. Provider business mailing address

27725 SANTA MARGARITA PKWY STE 220
MISSION VIEJO CA
92691-6707
US

V. Phone/Fax

Practice location:
  • Phone: 877-830-7328
  • Fax: 877-830-7469
Mailing address:
  • Phone: 877-830-7328
  • Fax: 877-830-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ISABEL HERNANDEZ
Title or Position: MANAGER
Credential:
Phone: 949-528-2668