=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023049459
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REXINGER MEDICAL GROUP, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2006
-----------------------------------------------------
Last Update Date | 07/08/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27800 MEDICAL CENTER RD SUITE 461
-----------------------------------------------------
City | MISSION VIEJO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92691-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-364-5600
-----------------------------------------------------
Fax | 949-364-2231
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27800 MEDICAL CENTER RD SUITE 461
-----------------------------------------------------
City | MISSION VIEJO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92691-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-364-5600
-----------------------------------------------------
Fax | 949-364-2231
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. HEDVIG REXINGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 949-364-5600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------