Healthcare Provider Details

I. General information

NPI: 1982915609
Provider Name (Legal Business Name): STEPHEN L TOCCI MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27071 CABOT RD STE 119
LAGUNA HILLS CA
92653-7011
US

IV. Provider business mailing address

27071 CABOT RD STE 119
LAGUNA HILLS CA
92653-7011
US

V. Phone/Fax

Practice location:
  • Phone: 949-348-4064
  • Fax: 949-348-7466
Mailing address:
  • Phone: 949-348-4000
  • Fax: 949-348-7466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA108023
License Number StateCA

VIII. Authorized Official

Name: DR. STEPHEN L TOCCI
Title or Position: OWNER
Credential: M.D.
Phone: 949-348-4000