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NPI Code Detail

MEDICARE: JAMES W CONNOR MD

MEDICARE:   JAMES W CONNOR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG42653CA

General Provider Information

NPI Number : 1578536553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W CONNOR MD
Provider Business Mailing Address
First Line : 27331 HIDDEN TRAIL RD
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-5874
Country : US
Telephone Number : 949-643-1150
Fax Number : 716-246-0346
Provider Business Practice Location Address
First Line : 27331 HIDDEN TRAIL RD
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-5874
Country : US
Telephone Number : 949-643-1150
Fax Number : 716-246-0346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 03/16/2026

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