0001658922-15-000002.txt : 20151202 0001658922-15-000002.hdr.sgml : 20151202 20151202130850 ACCESSION NUMBER: 0001658922-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151202 DATE AS OF CHANGE: 20151202 EFFECTIVENESS DATE: 20151202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mission Viejo Physician Partners I, LLC CENTRAL INDEX KEY: 0001659821 IRS NUMBER: 471559873 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-252246 FILM NUMBER: 151264152 BUSINESS ADDRESS: STREET 1: 27700 MEDICAL CENTER ROAD CITY: MISSION VIEJO STATE: CA ZIP: 92612 BUSINESS PHONE: 949-364-1400 MAIL ADDRESS: STREET 1: 27700 MEDICAL CENTER ROAD CITY: MISSION VIEJO STATE: CA ZIP: 92612 D 1 primary_doc.xml X0707 D LIVE 0001659821 Mission Viejo Physician Partners I, LLC 27700 MEDICAL CENTER ROAD MISSION VIEJO CA CALIFORNIA 92612 949-364-1400 CALIFORNIA None None Limited Liability Company true 2014 Eileen Haubl 27700 Medical Center Road Mission Viejo CA CALIFORNIA 92612 Executive Officer --- Mission Hospital Regional Medical Center 27700 Medical Center Road Mission Viejo CA CALIFORNIA 92612 Executive Officer Manager of Issuer Michael Beck 27700 Medical Center Road Mission Viejo CA CALIFORNIA 92612 Executive Officer Hospitals and Physicians Decline to Disclose 06b false 2015-11-10 false true false 9760 4880000 4880000 0 false 2 0 0 0 false Mission Viejo Physician Partners I, LLC /s/ Eileen Haubl Eileen Haubl VP/CFO of Mission Hospital Regional Medical Center, Manager 2015-12-01