Provider Demographics
NPI:1902979511
Name:LAGUNA MEDICAL CARE INC
Entity Type:Organization
Organization Name:LAGUNA MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO OF LAGUNA MEDICAL CAR
Authorized Official - Prefix:DR
Authorized Official - First Name:RIZWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHSENI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-420-0043
Mailing Address - Street 1:25431 CABOT ROAD
Mailing Address - Street 2:SUITE #205
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-420-0043
Mailing Address - Fax:949-597-1993
Practice Address - Street 1:25431 CABOT ROAD
Practice Address - Street 2:SUITE #205
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-420-0043
Practice Address - Fax:949-597-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty