LAKE FRONT WOUND CARE NPI 1235073784

NPI Information

  • NPI: 1235073784
  • Provider Name: LAKE FRONT WOUND CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 31501 RANCHO VIEJO RD STE 102
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Phone: (702) 344-4996

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NPI Details

LAKE FRONT WOUND CARE is a family medicine in San Juan Capistrano, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKE FRONT WOUND CARE NPI is 1235073784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31501 RANCHO VIEJO RD STE 102
SAN JUAN CAPISTRANO, CA
ZIP 92675-870
Phone: (702) 344-4996
Fax: (702) 240-6545

The provider's authorized official is Sonny Su .
The authorized official title is Md and has the following contact phone number (702) 338-9500.

The enumeration date for this NPI number is 4/15/2026 and was last updated on 4/15/2026.

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
1207Q00000XFamily 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: 11/21/2025

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