NPI | 1467674234 |
---|---|
Doing Business As | LAKE FOREST FAMILY DOCTOR |
Entity Type | Organization |
Authorized Contact | BRUCE HARRIS VAN VRANKEN President 949-581-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G32570) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |