Conchita Lazarraga Del Mundo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A47983 Issued in CA

Practice address

1725 W 17TH St
Santa Ana, CA 92706-2316

Phone

(714) 834-7985

Fax

(714) 834-8361

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Connie Lazarraga Del Mundo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467544486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 STANTON AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821027",
            "telephone_number": "714-834-7985",
            "fax_number": "714-834-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062316",
            "telephone_number": "714-834-7985",
            "fax_number": "714-834-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL MUNDO",
        "first_name": "CONCHITA",
        "middle_name": "LAZARRAGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A47983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "DEL MUNDO",
            "middle_name": "LAZARRAGA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arezou Dejakam
• Shireen Dejbakhsh, M.S., D.D.S.
• Martha Del Bosque
• Denise Colleen Aguilar Del Cano, COTA
• Stephany Del Carmen
• Gennesis Del Muro
• Isabel Del Pozo
• Lani Dela Noche
• Paul Delacruz, BEHAVIOR THERAPIST
• Elsa Delarosa

• Pediatrics Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.