Organization
BREAST SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURALYN R. MARKLE M.D. (PRESIDENT)
(949) 452-7200
Entity
Organization
Contact information
Practice address
24401 CALLE DE LA LOUISA, STE. 200, LAGUNA HILLS, CA 92653-3623
(949) 452-7200
Mailing address
PO BOX 5931, ORANGE, CA 92863-5931
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ2832
RAILROAD MEDICARE
—
05
—
GR0103910
—
CA
01
—
ZZZ01822Z
BLUE SHIELD OF CA
—
Enumeration date
08/16/2005
Last updated
08/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up