Organization
LAGUNA VEIN CENTER INC.
Active
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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