Fountains Sea Bluffs, Sl, Lp

Specialty details in registry · Dana Point, CA

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At a glance

25411 Sea Bluffs Dr, Dana Point, CA 92629-2190

NPPES record updated Oct 24, 2012. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

25411 Sea Bluffs Dr
Dana Point, CA 92629-2190
Professional details: NPI, taxonomy & registry record
NPI1154695880
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Feb 27, 2012
Record updated
Oct 24, 2012
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: 306004270 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

25411 Sea Bluffs Dr
Dana Point, CA 92629-2190
Phone
(949) 234-3001
Fax
(949) 489-8159
Mailing address
25411 SEA BLUFFS DR

DANA POINT, CA 926292190
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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