| |
27882 Forbes Rd, Laguna Niguel, CA 92677-1267 | |
(949) 364-6333 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Orthopaedic Surgery |
Location | 27882 Forbes Rd, Laguna Niguel, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316194012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC24717 (California) | Secondary |
207X00000X | Orthopaedic Surgery | G84446 (California) | Primary |
Mailing Address | Practice Location Address |
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2701 Harbor Blvd, E2 #214, Costa Mesa, CA 92626 Ph: (714) 378-1100 | 27882 Forbes Rd, Laguna Niguel, CA 92677-1267 Ph: (949) 364-6333 |