Healthcare Provider Details

I. General information

NPI: 1568235604
Provider Name (Legal Business Name): AHCS MISSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 TELLER AVE STE 110
NEWPORT BEACH CA
92660-8105
US

IV. Provider business mailing address

PO BOX 3055
HUNTINGTON BEACH CA
92605-3055
US

V. Phone/Fax

Practice location:
  • Phone: 949-418-8495
  • Fax:
Mailing address:
  • Phone: 253-709-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030