Individual provider · NPI-1

Louise N Bacon, M.D.

Surgery · Mission Viejo, CA

NPI number1063732428
StatusActive
Last updated in NPPESFeb 9, 2026

Details

NPI
1063732428
Entity type
Individual (NPI-1)
Name
Louise N Bacon
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2010
Certification date
Feb 9, 2026
Last updated
Feb 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery135799CAYes

Practice location

26732 Crown Valley Pkwy Ste 440
Mission Viejo, CA 92691-6306

Phone 949-364-1007 · Fax 949-364-0317

Mailing address

26732 Crown Valley Pkwy Ste 440
Mission Viejo, CA 92691-6306

Phone 949-364-1007 · Fax 949-364-0317

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