LAGUNA TIDES MEDICAL GROUP, INC.

LAGUNA NIGUEL, CA
NPI1811014319
Entity TypeOrganization
Authorized ContactROBERT V. ELLER
President
949-499-1337
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A9817)
Enumeration Date2007-03-22
Last Update Date2010-05-04
Business Address
LAGUNA TIDES MEDICAL GROUP, INC.
30131 TOWN CENTER DR SUITE 215
LAGUNA NIGUEL, CA 92677-2034
Phone number: 949-499-1337
Mailing Address
LAGUNA TIDES MEDICAL GROUP, INC.
30131 TOWN CENTER DR SUITE 215
LAGUNA NIGUEL, CA 92677-2034
Phone number: 949-499-1337
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