EVERSIDE HEALTH LAGUNA HILLS NPI 1124707336

NPI Information

  • NPI: 1124707336
  • Provider Name: EVERSIDE HEALTH LAGUNA HILLS
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • CLIA Number: 05D2293043
  • Address: 23961 CALLE DE LA MAGDALENA STE 415
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (704) 661-1380

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NPI Details

EVERSIDE HEALTH LAGUNA HILLS is a preventive medicine/occupational environmental medicine preventive medicine in Laguna Hills, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. EVERSIDE HEALTH LAGUNA HILLS NPI is 1124707336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23961 CALLE DE LA MAGDALENA STE 415
LAGUNA HILLS, CA
ZIP 92653-616
Phone: (704) 661-1380

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The CLIA number assigned to this NPI record is 05D2293043 - physician office with a certificate type of Certificate of Waiver.

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

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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: 3/30/2025

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