Healthcare Provider Details

I. General information

NPI: 1871537167
Provider Name (Legal Business Name): LYNN NAPOLI, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26732 CROWN VALLEY PKWY SUITE 461
MISSION VIEJO CA
92691-6306
US

IV. Provider business mailing address

26732 CROWN VALLEY PKWY STE. 461
MISSION VIEJO CA
92691-6306
US

V. Phone/Fax

Practice location:
  • Phone: 949-347-2566
  • Fax: 949-347-1606
Mailing address:
  • Phone: 949-347-2566
  • Fax: 949-347-1606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG80380
License Number StateCA

VIII. Authorized Official

Name: DR. LYNN ELIZABETH NAPOLI
Title or Position: DIRECTOR
Credential: M.D.
Phone: 949-347-2566