Laguna Beach OBGYN, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C52576 Issued in CA

Legal business name

LAGUNA BEACH OBGYN, INC.

Practice address

26800 Crown Valley Pkwy Ste 460
Mission Viejo, CA 92691-8024

Phone

(949) 499-2258

Fax

(949) 499-5697

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth A James, MDNPI 1497782213

Title

Ownder

Phone

(949) 499-2258

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth A James, M.D.

  • Obstetrics & Gynecology Physician
  • Mission Viejo, CA
  • NPI 1497782213
  Authorized official Same address or phone
• William Fenton White, MD

  • Obstetrics & Gynecology Physician
  • Laguna Beach, CA
  • NPI 1770683526
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1255455978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 460",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918024",
            "telephone_number": "949-499-2258",
            "fax_number": "949-499-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 460",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918024",
            "telephone_number": "949-499-2258",
            "fax_number": "949-499-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA BEACH OBGYN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "949-499-2258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C52576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kwon, MD
• Kenneth T Kwon, M.D.
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• Cristopher Lai, PHARMD
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• Lakeside Physical Therapy, Inc.
• Amy Wingshan Lam, O.D.

• Specialist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.