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SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP NPI 1871593079


NPI Information

NPI: 1871593079
Provider Name: SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 05D0580535

Address:
26732 CROWN VALLEY PKWY
SUITE 351
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-1007
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SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP is a surgery in Mission Viejo, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP NPI is 1871593079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26732 CROWN VALLEY PKWY
SUITE 351
MISSION VIEJO, CA
ZIP 92691-306
Phone: (949) 364-1007
Fax: (949) 364-0317

The provider's authorized official is Annette Hansen .
The authorized official title is Bus Admin and has the following contact phone number (949) 364-1007.

The CLIA number assigned to this NPI record is 05D0580535 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 7/15/2010.


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
1208600000XSurgeryW1452CALIFORNIAYes

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
1ZZZ71131ZMEDICAIDCALIFORNIA
2W1452MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 11/14/2023

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