OrganizationActive
Lake Front Wound Care
NPI 1235073784 · Family Medicine Physician · San Juan Capistrano, CA
Provider details
- NPI number
- 1235073784
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sonny Su, MD(702) 338-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31501 Rancho Viejo Rd Ste 102
San Juan Capistrano, CA 92675-1870
Phone: (702) 344-4996
Fax: (702) 240-6545
Street-level locationGet directions
Mailing address
2451 Professional Ct Ste 180
Las Vegas, NV 89128-0827
Registry dates
- Enumerated
- 2026-04-15
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.