| Organization Name: | MISSION PHYSICIAN SERVICES OF CALIFORNIA, LLC |
| NPI Number: | 1033429436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN M. WEBB (PRESIDENT) |
| Mailing Address: | 3220 S Peoria Ave Ste 101 Tulsa |
| State: | OK US |
| Postal Code: | 741052006 |
| Phone Number: | 9187704441 |
| Fax Number: | 9187129880 |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 12/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |