Provider Demographics
NPI:1174654347
Name:JOHN F. LALONDE, D.O., INC.
Entity Type:Organization
Organization Name:JOHN F. LALONDE, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:LALONDE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-631-5226
Mailing Address - Street 1:2216 NEWPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-1711
Mailing Address - Country:US
Mailing Address - Phone:949-631-9009
Mailing Address - Fax:949-631-1984
Practice Address - Street 1:2216 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-1711
Practice Address - Country:US
Practice Address - Phone:949-631-9009
Practice Address - Fax:949-631-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A7473Medicare ID - Type Unspecified
CAH43785Medicare UPIN