Laguna Tides Medical Group, Inc.

LBN: Laguna Tides Medical Group, Inc.
Laguna Tides Medical Group, Inc. is an health care organization with primary practice located at 30131 Town Center Dr Suite 215, Laguna Niguel CA 92677-2034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Laguna Tides Medical Group, Inc. can be contacted via phone (949) 499-1337, or through Eller, Robert V. via phone (949) 499-1337.

Contact Information

Primary practice address
30131 Town Center Dr Suite 215 Laguna Niguel CA 92677-2034
Fax: (949) 499-4962
Website:
Authorized official contact:
Name: Eller, Robert V. Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A9817 California

Profile Details

NPI number 1811014319
LBN Legal business name Laguna Tides Medical Group, Inc.
DBA Doing business as
Authorized official Eller, Robert V. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated May 4th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers