LAKE FOREST MEDICAL GROUP, INC.

LAKE FOREST, CA
NPI1558429092
Entity TypeOrganization
Authorized ContactJOHN C KOUMAS
Owner
949-770-1950
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A5515)
Enumeration Date2006-12-05
Last Update Date2008-09-17
Business Address
LAKE FOREST MEDICAL GROUP, INC.
24401 MUIRLANDS BLVD SUITE #A
LAKE FOREST, CA 92630-3948
Phone number: 949-770-1950
Mailing Address
LAKE FOREST MEDICAL GROUP, INC.
24401 MUIRLANDS BLVD SUITE #A
LAKE FOREST, CA 92630-3948
Phone number: 949-770-1950
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