Organization
LAGUNA VEIN CENTER INC.
Active
Other names
Laguna Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D. BAKER MD (PRESIDENT)
(877) 924-9009
Entity
Organization
Contact information
Practice address
24902 MOULTON PKWY STE 200, LAGUNA HILLS, CA 92637-6403
(949) 305-5165
(949) 485-6229
Mailing address
4790 IRVINE BLVD STE 105-141, IRVINE, CA 92620-1973
(877) 924-9009
(949) 485-6229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124022850
NPI
CA
Enumeration date
02/11/2019
Last updated
02/23/2019
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