Healthcare Provider Details

I. General information

NPI: 1326919945
Provider Name (Legal Business Name): MISSION PSYCHIATRIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 STEVENS AVE STE 206
SOLANA BEACH CA
92075-2065
US

IV. Provider business mailing address

462 STEVENS AVE STE 206
SOLANA BEACH CA
92075-2065
US

V. Phone/Fax

Practice location:
  • Phone: 858-365-8564
  • Fax:
Mailing address:
  • Phone: 858-365-8564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TROY KURZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 858-617-0004