Healthcare Provider Details

I. General information

NPI: 1831556844
Provider Name (Legal Business Name): OC SPORTS AND ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27725 SANTA MARGARITA PKWY STE 100
MISSION VIEJO CA
92691-6706
US

IV. Provider business mailing address

27725 SANTA MARGARITA PKWY STE 100
MISSION VIEJO CA
92691-6706
US

V. Phone/Fax

Practice location:
  • Phone: 949-393-3193
  • Fax: 949-393-3199
Mailing address:
  • Phone: 949-393-3193
  • Fax: 949-393-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20A11369
License Number StateCA

VIII. Authorized Official

Name: DANIEL PAUL DUGGAN
Title or Position: OWNER
Credential:
Phone: 949-393-3193