Mission Center for Longevity & Aesthetic Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A64307 Issued in CA

Legal business name

MISSION CENTER FOR LONGEVITY & AESTHETIC MEDICINE

Practice address

26730 Crown Valley Pkwy Ste 250
Mission Viejo, CA 92691-8000

Phone

(949) 364-2440

Fax

(949) 364-2778

NPI assigned

Jun 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Alan Heinrich, M.D., FACS

Title

President of the Board

Phone

(949) 364-2440

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1740418680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY STE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918000",
            "telephone_number": "949-364-2440",
            "fax_number": "949-364-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY STE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918000",
            "telephone_number": "949-364-2440",
            "fax_number": "949-364-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CENTER FOR LONGEVITY & AESTHETIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HEINRICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "949-364-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64307",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69073",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G66486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Misa, PH.D.
• Emily Blair Mishler, PA
• Mission Advanced Pain Management & Spine Center, P.C.
• Mission Ambulatory Surgicenter LTD.
• Mission Audiology, Inc
• Mission Children'S Medical Group, Inc
• Mission Chiropractic
• Mission Endoscopy Center Inc
• Mission Family Practice Inc
• Mission Hills Medical Group, Inc.

• Internal Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.