Organization Active NPI

Laguna Woods Senior Medical Group

  • Internal Medicine Physician
  • Laguna Woods, CA
National Provider Identifier
1194920728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAGUNA WOODS SENIOR MEDICAL GROUP
Practice address
24331 El Toro Rd
Suite 330
Laguna Woods, CA 92637-2752
Phone
(949) 707-1807
Fax
(949) 707-1874
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawrence William Cooke, M.D.
Title
President
Phone
(949) 707-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

24331 El Toro Rd
Suite 330
Laguna Woods, CA 92637-2752

Mailing address

24331 El Toro Rd
Suite 330
Laguna Woods, CA 92637-2752
Phone (949) 707-1807

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194920728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 330",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-707-1807",
            "fax_number": "949-707-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 330",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-707-1807",
            "fax_number": "949-707-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA WOODS SENIOR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-707-1807",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.