Organization · Type 2 NPI
Minimally Invasive Medical Group
Surgery Physician · Lake Forest, CA
Practice location
29300 Portola Pkwy Ste B
Lake Forest, CA 92630-8741
Other practice locations
- 18102 Sky Park Cir Ste D, Irvine, CA 92614-6531 · (949) 333-2224
- 26921 Crown Valley Pkwy Ste 120, Mission Viejo, CA 92691-6501 · (949) 367-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | None listed |
| Physical Medicine & Rehabilitation Physician | 208100000X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Surgery Physician Primary | 208600000X | None listed |
| Colon & Rectal Surgery Physician | 208C00000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Orthopedic Physical Therapist | 2251X0800X | None listed |
| Certified Registered Nurse Anesthetist | 367500000X | None listed |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
3 other providers at this address
Other surgery physician providers in Lake Forest
About NPI 1902374010
Minimally Invasive Medical Group's National Provider Identifier is 1902374010, issued on Nov 6, 2018. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lake Forest, CA. The record was last updated on Aug 19, 2026.