Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laguna Tides Medical Group, Inc

Organization Internal Medicine Physician · NPI 1811014319

Laguna Tides Medical Group, Inc is an Internal Medicine Physician in Laguna Niguel, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30131 Town Center Dr Ste 215
Laguna Niguel, CA 92677-2034
Phone: (949) 499-1337
Fax: (949) 499-4962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A9817 (CA)

Record details

NPI number1811014319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Eller — President · (949) 499-1337
NPI enumeratedMarch 22, 2007
Last updated in NPPESMay 4, 2010
Mailing address30131 Town Center Dr, Suite 215, Laguna Niguel, CA 92677-2034

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