Healthcare Provider Details

I. General information

NPI: 1952451049
Provider Name (Legal Business Name): MARK GALBRAITH, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26691 PLAZA 110
MISSION VIEJO CA
92691-6329
US

IV. Provider business mailing address

26732 CROWN VALLEY PKWY STE 511
MISSION VIEJO CA
92691-8525
US

V. Phone/Fax

Practice location:
  • Phone: 949-360-6009
  • Fax: 949-360-6162
Mailing address:
  • Phone: 949-360-6009
  • Fax: 949-360-6162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JON MARK GALBRAITH
Title or Position: OWNER
Credential: MD
Phone: 949-360-6009