Provider Demographics
NPI:1487602702
Name:BAGINSKI, LEON JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:JOSEPH
Last Name:BAGINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27800 MEDICAL CENTER RD STE 310
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6461
Mailing Address - Country:US
Mailing Address - Phone:949-230-4939
Mailing Address - Fax:949-276-6277
Practice Address - Street 1:27800 MEDICAL CENTER RD STE 310
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6461
Practice Address - Country:US
Practice Address - Phone:492-766-2669
Practice Address - Fax:949-276-6277
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG64918207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG649180Medicaid
CAG649180Medicaid