LJB MD INC NPI 1578880324

NPI Information

  • NPI: 1578880324
  • Provider Name: LJB MD INC
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Organization
  • Address: 25982 PALA
    SUITE 120
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (305) 992-4075

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NPI Details

LJB MD INC is a foot and ankle surgery orthopaedic surgery in Mission Viejo, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. LJB MD INC NPI is 1578880324. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25982 PALA
SUITE 120
MISSION VIEJO, CA
ZIP 92691-719
Phone: (305) 992-4075
Fax: (949) 496-8872

The provider's authorized official is Lucas Jeremy Bader .
The authorized official title is President and has the following contact phone number (305) 992-4075.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 2/2/2011.

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
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryA112030CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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