LJB MD Inc

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

A112030 Issued in CA

Legal business name

LJB MD INC

Practice address

25982 Pala
Suite 120
Mission Viejo, CA 92691-6719

Phone

(305) 992-4075

Fax

(949) 496-8872

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lucas Jeremy Bader, MD

Title

President

Phone

(305) 992-4075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1578880324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "305-992-4075",
            "fax_number": "949-496-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "305-992-4075",
            "fax_number": "949-496-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-992-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A112030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Liu, PT, DPT
• Allison F Liu
• Erica Liu, PT, DPT
• Szu Yu Liu, RD
• Xiao Liu, D.O.
• Megan Nicole Llorente, IBCLC, FNP
• Taylor B Lloyd
• Ying Yi Lo, AC. L
• Alicia M Loaiza, D.C.
• David S Loaiza, D.C.

• Orthopaedic Foot and Ankle Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopaedic Foot and Ankle Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.