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SADDLEBACK RESPIRATORY MEDICAL GRP NPI 1164517843


NPI Information

NPI: 1164517843
Provider Name: SADDLEBACK RESPIRATORY MEDICAL GRP
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 05D2152161

Address:
24451 HEALTH CENTER DR
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 837-4500
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SADDLEBACK RESPIRATORY MEDICAL GRP is a pulmonary disease internal medicine in Laguna Hills, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SADDLEBACK RESPIRATORY MEDICAL GRP NPI is 1164517843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24451 HEALTH CENTER DR
LAGUNA HILLS, CA
ZIP 92653-689
Phone: (949) 837-4500

The provider's authorized official is Lelia Mcnicol .
The authorized official title is Office Manager and has the following contact phone number (949) 643-3345.

The CLIA number assigned to this NPI record is 05D2152161 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ53020YOTHERCALIFORNIABLUE CROSS/BLUE SHIELD
200G256840OTHERBLUE CROSS
300G256840MEDICAIDCALIFORNIA
4DE7170MEDICARE PIN
5W19017MEDICARE PIN
600G256840OTHERBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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