Provider Demographics
NPI:1518457704
Name:LEON BAGINSKI MD INC
Entity Type:Organization
Organization Name:LEON BAGINSKI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAGINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-230-4939
Mailing Address - Street 1:26800 CROWN VALLEY PKWY STE 560
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8031
Mailing Address - Country:US
Mailing Address - Phone:949-276-6266
Mailing Address - Fax:949-276-6277
Practice Address - Street 1:26800 CROWN VALLEY PKWY STE 560
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-276-6266
Practice Address - Fax:949-276-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64918207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty