Provider Demographics
NPI:1023049459
Name:REXINGER MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:REXINGER MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEDVIG
Authorized Official - Middle Name:
Authorized Official - Last Name:REXINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-364-5600
Mailing Address - Street 1:27800 MEDICAL CENTER RD
Mailing Address - Street 2:SUITE 461
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6410
Mailing Address - Country:US
Mailing Address - Phone:949-364-5600
Mailing Address - Fax:949-364-2231
Practice Address - Street 1:27800 MEDICAL CENTER RD
Practice Address - Street 2:SUITE 461
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6410
Practice Address - Country:US
Practice Address - Phone:949-364-5600
Practice Address - Fax:949-364-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39879Medicare UPIN
CAW11838Medicare ID - Type Unspecified
CAF30634Medicare UPIN