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General NPI Number Information
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NPI Number | 1699685941
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Entity Type | Organization
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Legal Business Name | LAGUNA THERAPY CENTER LLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 23291 MILL CREEK DR STE 100
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1631
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Country | US
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Telephone | 949-227-4306
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Fax | 949-850-1050
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Provider Business Mailing Address
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Address Line | 31706 COAST HWY UNIT 401
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-7022
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Country | US
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Telephone | 949-227-4306
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Fax | 949-850-1050
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Authorized Official
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Title or Position | CMO
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Name | JOHN TRYON
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Credential |
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Telephone | 949-353-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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