Healthcare Provider Details

I. General information

NPI: 1922048511
Provider Name (Legal Business Name): SADDLEBACK MEMORIAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24431 CALLE DE LA LOUISA STE 100
LAGUNA HILLS CA
92653-7641
US

IV. Provider business mailing address

24411 HEALTH CENTER DRIVE SUITE 400
LAGUNA HILLS CA
92653-3629
US

V. Phone/Fax

Practice location:
  • Phone: 949-452-3000
  • Fax: 949-380-4576
Mailing address:
  • Phone: 949-450-3000
  • Fax: 949-380-4576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number060000218
License Number StateCA

VIII. Authorized Official

Name: CHRIS FINCH
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 714-377-3218