0001659821-16-000001.txt : 20160114 0001659821-16-000001.hdr.sgml : 20160114 20160114133335 ACCESSION NUMBER: 0001659821-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160114 DATE AS OF CHANGE: 20160114 EFFECTIVENESS DATE: 20160114 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: 021-255188 FILM NUMBER: 161342520 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 x5408 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 2016-01-11 false true false 0 4880000 4294400 585600 false 12 0 0 0 false Mission Viejo Physician Partners I, LLC /s/ Eileen Haubl Eileen Haubl VP/CFO of Mission Hospital Regional Medical Center, Manager 2016-01-13