# PACIFIC THORACIC SURGERY

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

## Provider details

- **NPI number:** 1770720625
- **Authorized official:** DR. LEDFORD LEE POWELL MD, FACS, FCCP (SURGEON)
- **Authorized official phone:** (949) 716-2400

## Contact information

- **Practice address:** 24411 HEALTH CENTER DR, SUITE 630, LAGUNA HILLS, CA 92653-3651
- **Practice address phone:** (949) 716-2400
- **Mailing address:** 24411 HEALTH CENTER DR, SUITE 630, LAGUNA HILLS, CA 92653-3651
- **Mailing address phone:** (949) 716-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 10/13/2015