Healthcare Provider Details

I. General information

NPI: 1114974789
Provider Name (Legal Business Name): LAWRENCE JAY BUDNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR STE 302
ORANGE CA
92868-3854
US

IV. Provider business mailing address

1310 W STEWART DR STE 302
ORANGE CA
92868-3854
US

V. Phone/Fax

Practice location:
  • Phone: 714-997-8232
  • Fax: 714-997-3314
Mailing address:
  • Phone: 714-997-8232
  • Fax: 714-997-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG50685
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG50685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: