Timothy P. Huston Md, Inc | |
27231 La Paz Rd Ste A Laguna Niguel CA 92677-3627 | |
(949) 643-9111 | |
(949) 643-8916 |
Full Name | Timothy P. Huston Md, Inc |
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Speciality | Family Medicine |
Location | 27231 La Paz Rd Ste A, Laguna Niguel, California |
Authorized Official Name and Position | Timothy P Huston (PRESIDENT) |
Authorized Official Contact | 9496439111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timothy P. Huston Md, Inc 31722 Avenida Evita San Juan Capistrano CA 92675-3402 Ph: (949) 643-9111 | Timothy P. Huston Md, Inc 27231 La Paz Rd Ste A Laguna Niguel CA 92677-3627 Ph: (949) 643-9111 |
NPI Number | 1710296439 |
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Provider Enumeration Date | 09/29/2010 |
Last Update Date | 09/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710296439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G44816 (California) | Primary |
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