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

Lakeside Physical Therapy, Inc

Organization Physical Therapy Clinic/Center · NPI 1093945891

Lakeside Physical Therapy, Inc is a Physical Therapy Clinic/Center in Mission Viejo, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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

27722 Vista Del Lago A1
Mission Viejo, CA 92692-1133
Phone: (949) 842-5735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 28555 (CA)

Record details

NPI number1093945891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Kim — Owner · (949) 707-5442
NPI enumeratedJuly 15, 2009
Last updated in NPPESJuly 15, 2009
Mailing address23216 Stella Ct, Lake Forest, CA 92630-5336

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