Organization
MINIMALLY INVASIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BURNS MD (MEDICAL DIRECTOR)
(949) 333-2224
Entity
Organization
Contact information
Practice address
29300 PORTOLA PKWY STE B, LAKE FOREST, CA 92630-8741
(949) 333-2224
Mailing address
29300 PORTOLA PKWY STE B, LAKE FOREST, CA 92630-8741
(949) 333-2224
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/06/2018
Last updated
05/15/2026
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