LAGUNA VEIN CENTER INC. (NPI# 1801352265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801352265 |
Entity Type | Organization |
Organization Name | LAGUNA VEIN CENTER INC. |
Other Organization Name | LAGUNA VEIN CENTER |
Practice Address |
24902 Moulton Pkwy Ste 200 Laguna Hills CA 92637-6403 |
Mailing Address |
4790 Irvine Blvd Ste 105-141 Irvine CA 92620-1973 |
Practice Telephone | 9493055165 |
Practice Fax Number | 9494856229 |
Mailing Telephone | 8779249009 |
Mailing Fax Number | 9494856229 |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-23 |
Authorized Official Name | DR. JOHN D. BAKER (PRESIDENT) |
Authorized Official Telephone | 8779249009 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NPI | 1124022850 | 01 |
Other Name | Type Code |
---|---|
Laguna Vein Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
23961 Calle De La Magdalena Ste 517, Laguna Hills, CA 926537628 | 9492644213 | 9494856229 |
Street Address |
24902 MOULTON PKWY STE 200 |
City | LAGUNA HILLS |
State | CA |
Zip Code | 92637-6403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
Find all providers in zip 92637 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962420273 | Michael D Moran, M.d., Inc. | Internal Medicine | 25301 Cabot Rd, Suite 104, Laguna Hills, CA 92653-5511 | 2006-07-17 |
1740284108 | George Samuel Konugres | Internal Medicine | 24012 Calle De La Plata, Ste 150, Laguna Hills, CA 92653-3621 | 2005-06-13 |
1063416410 | Inderpal Singh Gujral | Internal Medicine | 24953 Paseo De Valencia, 30 A, Laguna Hills, CA 92653-4342 | 2005-06-13 |
1821092685 | Sasan Ghaffari | Internal Medicine | 23521 Paseo De Valencia Ste 303, Laguna Hills, CA 92653-3102 | 2005-06-09 |
1821566787 | Healthy Heart Cardiology Inc. | Internal Medicine | 23961 Calle De La Magdalena Ste 517, Laguna Hills, CA 92653-7628 | 2018-11-08 |
1669763447 | Amarpal Chana | Internal Medicine | 24022 Calle De La Plata, Suite 500, Laguna Hills, CA 92653-3626 | 2011-04-27 |
1679725618 | Caring Cardiology Medical Group | Internal Medicine | 23521 Paseo De Valencia, Ste 115, Laguna Hills, CA 92653-3107 | 2008-10-22 |
1194974626 | Charles Michael Parise | Internal Medicine | 24022 Calle De La Plata, Suite 500, Laguna Hills, CA 92653-3626 | 2008-09-09 |
1912199704 | Paul C. Drury | Internal Medicine | 24022 Calle De La Plata, Suite 500, Laguna Hills, CA 92653-3626 | 2007-08-15 |
1942403886 | William Davies M.d. | Internal Medicine | 24411 Health Center Dr, Ste. 680, Laguna Hills, CA 92653-3651 | 2007-06-07 |
Find all providers in LAGUNA HILLS |
City | LAGUNA HILLS |
Zip Code | 92637 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.