South County Medical
South County Medical is a Physician Assistant in Trabuco Canyon, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
36 Brassie LnTrabuco Canyon, CA 92679-4954
Phone: (949) 243-4741
Fax: (949) 713-5163
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA11666 (CA) |
|---|
Record details
| NPI number | 1467697276 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Licon — Ceo/President · (949) 243-4741 |
| NPI enumerated | December 8, 2008 |
| Last updated in NPPES | November 14, 2011 |
| Mailing address | P.O. Box 81044, Rancho Santa Margarita, CA 92688 |
Other providers in Trabuco Canyon
-
Leanne Bousmail
31951 Dove Canyon Dr, Trabuco Canyon, CA 92679-3718 · (714) 905-4329
-
MS. Rayna Michelle Leland, PA-C
29042 Canyon Vista Dr, Trabuco Canyon, CA 92679-1608 · (949) 292-5046
-
Brian O'Neill
31951 Dove Canyon Dr, Trabuco Canyon, CA 92679-3718 · (949) 557-0880