| 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 |