Healthcare Provider Details

I. General information

NPI: 1609976414
Provider Name (Legal Business Name): MARVIN D POSNER MD AND VIVIEN L PAN MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27800 MEDICAL CENTER RD STUITE #100
MISSION VIEJO CA
92691-6410
US

IV. Provider business mailing address

PO BOX 29482
SAINT LOUIS MO
63126-7482
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-1400
  • Fax:
Mailing address:
  • Phone: 949-643-3345
  • Fax: 949-643-3560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIVIEN L. PAN
Title or Position: PRESIDENT OF CORPORATION
Credential: M.D.
Phone: 949-364-4228