MEDICARE: LAWRENCE UMAMING JR. FNP

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	363L00000X	Nurse Practitioner	95024632	CA
2	163WC0200X	Critical Care Medicine Registered Nurse	697077	CA

General Provider Information

NPI Number	:	1730894924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE UMAMING JR. FNP

Provider Business Mailing Address
First Line	:	97 FRONTIER ST
Second Line	:
City	:	TRABUCO CANYON
State	:	CA
Zip	:	92679-5345
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18111 BROOKHURST ST
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-6728
Country	:	US
Telephone Number	:	714-378-7600
Fax Number	:

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

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	12/18/2025

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