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NPI 1326919945

NPI 1326919945 : MISSION PSYCHIATRIC INC. : SOLANA BEACH, CA

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General NPI Number Information
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    NPI Number           |    1326919945
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    Entity Type          |    Organization 
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    Legal Business Name  |    MISSION PSYCHIATRIC INC. 
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Dates
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    Enumeration Date     |    09/16/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    462 STEVENS AVE STE 310 
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    City                 |    SOLANA BEACH
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    State                |    CA
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    Zip                  |    92075-2066
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    Country              |    US
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    Telephone            |    858-617-0004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    462 STEVENS AVE STE 310 
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    City                 |    SOLANA BEACH
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    State                |    CA
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    Zip                  |    92075-2066
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    Country              |    US
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    Telephone            |    858-617-0004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. TROY  KURZ 
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    Credential           |    MD
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    Telephone            |    858-617-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0802X
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    Taxonomy Name        |    Addiction Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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