Laguna Tides Medical Group, Inc.

NPI #1811014319 in Laguna Niguel, California

Provider Information

NPI Number: 1811014319
Entity Type: Organization
Organization Name: Laguna Tides Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2007
Last Updated: May 4, 2010

Practice Location

Address: 30131 TOWN CENTER DR
Address 2: SUITE 215
City: Laguna Niguel
State: California
ZIP Code: 92677-2034
Phone: (949) 499-1337

Authorized Official

Name: ROBERT V. ELLER, D.O.
Title: PRESIDENT
Phone: (949) 499-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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