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

Lake Front Wound Care

Organization Family Medicine Physician · NPI 1235073784

Lake Front Wound Care is a Family Medicine Physician in San Juan Capistrano, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

31501 Rancho Viejo Rd Ste 102
San Juan Capistrano, CA 92675-1870
Phone: (702) 344-4996
Fax: (702) 240-6545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1235073784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonny Su — Md · (702) 338-9500
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address2451 Professional Ct Ste 180, Las Vegas, NV 89128-0827

Other providers in San Juan Capistrano