Mitochondrial Medicine, INC.
Family Medicine, Geriatric Medicine in San Juan Capistrano, CA. Organization (NPI-2).
NPI number1972425585
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1972425585
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitochondrial Medicine, INC.
- Organization subpart
- No
- Enumeration date
- Jul 27, 2026
- Certification date
- Jul 27, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Other names
- Coastal MD Housecalls (Doing Business As)
Practice location
33872 Avenida CalitaSan Juan Capistrano, CA 92675-4942
Phone 949-226-8400
Mailing address
33959 Doheny Park Rd # 1018San Juan Capistrano, CA 92675-4835
Authorized official
Michael Haga
Owner/Provider
9492268400
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