FOOTHILL SURGICAL INSTITUTE LLC NPI 1104985910

NPI Information

  • NPI: 1104985910
  • Provider Name: FOOTHILL SURGICAL INSTITUTE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1024936
  • Address: 29300 PORTOLA PKWY
    SUITE A
    LAKE FOREST, CA
    ZIP 92630
  • Phone: (949) 367-1006

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NPI Details

FOOTHILL SURGICAL INSTITUTE, LLC is an ambulatory surgical clinic center in Lake Forest, CA. FOOTHILL SURGICAL INSTITUTE, LLC NPI is 1104985910. The provider is registered as an organization entity type.

The provider's business location address is:

29300 PORTOLA PKWY
SUITE A
LAKE FOREST, CA
ZIP 92630-718
Phone: (949) 367-1006

The provider's authorized official is Nazli Arefkia .
The authorized official title is Ceo and has the following contact phone number (949) 510-0951.

The CLIA number assigned to this NPI record is 05D1024936 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 9/14/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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