Fakinos, Laurence Michael

Fakinos, Laurence Michael is an sole proprietor health care provider with primary practice located at 27800 Medical Center Rd Ste. # 260, Mission Viejo CA 92691-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fakinos, Laurence Michael can be contacted via phone (949) 364-3050.

Contact Information

Primary practice address
27800 Medical Center Rd Ste. # 260 Mission Viejo CA 92691-6410
Phone: (949) 364-3050
Fax: (949) 364-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G67377 California

Profile Details

NPI number 1376616250
LBN Legal business name Fakinos, Laurence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376616250 NPPES
California MEDICAID G6737700

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