Provider Demographics
NPI:1982915609
Name:STEPHEN L TOCCI MD, PC
Entity Type:Organization
Organization Name:STEPHEN L TOCCI MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-348-4000
Mailing Address - Street 1:27071 CABOT RD STE 119
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7011
Mailing Address - Country:US
Mailing Address - Phone:949-348-4000
Mailing Address - Fax:949-348-7466
Practice Address - Street 1:27071 CABOT RD STE 119
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7011
Practice Address - Country:US
Practice Address - Phone:949-348-4064
Practice Address - Fax:949-348-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108023207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty