MEDICARE: DR. JOHN HENRY MASSIMINO M.D.

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
1	103TC0700X	Clinical Psychologist	A-36137	CA

General Provider Information

NPI Number	:	1720282239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HENRY MASSIMINO M.D.

Provider Business Mailing Address
First Line	:	30262 CROWN VALLEY PKWY
Second Line	:	SUITE B-400
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2364
Country	:	US
Telephone Number	:	949-413-7315
Fax Number	:

Provider Business Practice Location Address
First Line	:	30262 CROWN VALLEY PKWY
Second Line	:	SUITE B-400
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2364
Country	:	US
Telephone Number	:	949-413-7315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	04/18/2008

Similar Medicare Providers

1578338752 — CARLY MICHELE ALBRECHT RD
Practice Location Address:

30262 CROWN VALLEY PKWY STE B154
LAGUNA NIGUEL, CA
92677-2364

Practice Phone: 949-287-3197
Practice Fax: 833-924-4470

1972992618 — YAZDANI & NADIR DDS INC
Practice Location Address:

30262 CROWN VALLEY PKWY , SUITE #E
LAGUNA NIGUEL, CA
92677-2364

Practice Phone: 949-363-0018
Practice Fax: 949-363-7295

1699405027 — ELITE SEDATION GENERAL PARTNERSHIP
Practice Location Address:

30262 CROWN VALLEY PKWY STE B447
LAGUNA NIGUEL, CA
92677-2364

Practice Phone: 949-288-3401
Practice Fax:

1245023829 — MASOUD ZARE
Practice Location Address:

30262 CROWN VALLEY PKWY STE A
LAGUNA NIGUEL, CA
92677-2364

Practice Phone: 949-307-3670
Practice Fax:

1871424960 — SANTA ADRIANA ESSENBERG
Practice Location Address:

30100 CROWN VALLEY PKWY STE 16
LAGUNA NIGUEL, CA
92677-2041

Practice Phone: 949-303-0798
Practice Fax:

1063098556 — CHRISTOPHER PAUL LONG
Practice Location Address:

30131 TOWN CENTER DR STE 247
LAGUNA NIGUEL, CA
92677-2033

Practice Phone: 949-239-1103
Practice Fax: 949-816-1549

Directions to “ DR. JOHN HENRY MASSIMINO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.