# LAURENCE M FAKINOS, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689948234
- **Authorized official:** LAURENCE M FAKINOS MD (CEO / PHYSICIAN)
- **Authorized official phone:** (949) 364-3050

## Contact information

- **Practice address:** 27800 MEDICAL CENTER RD, SUITE 260, MISSION VIEJO, CA 92691-6410
- **Practice address phone:** (949) 364-3050
- **Practice address fax:** (949) 364-2135
- **Mailing address:** 27800 MEDICAL CENTER RD, SUITE 260, MISSION VIEJO, CA 92691-6410
- **Mailing address phone:** (949) 364-3050
- **Mailing address fax:** (949) 364-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G67377 | CA | Yes |

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 02/29/2012