MOULTON FAMILY MEDICAL, INC.

LAKE FOREST, CA
NPI1538190954
Entity TypeOrganization
Authorized ContactNELLY BOUTROS
Owner
949-951-9399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-07-05
Last Update Date2020-08-22
Business Address
MOULTON FAMILY MEDICAL, INC.
22611 LAKE FOREST DR. #C-4
LAKE FOREST, CA 92630
Phone number: 949-951-9399
Mailing Address
MOULTON FAMILY MEDICAL, INC.
PO BOX 8095
FOUNTAIN VALLEY, CA 92728-8095
Phone number: 949-951-9399