DR. Mary M Koumas, D.O.

NPI #1306838909 in Lake Forest, California

Provider Information

NPI Number
1306838909
Entity Type
Individual
Name
DR. Mary M Koumas, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Aug 19, 2005
Last Updated
Dec 9, 2008

Practice Location

Address
24401 MUIRLANDS BLVD
Address 2
SUITE #A
ZIP Code
92630-3948
Phone
(949) 770-1950

Specialties & Taxonomy Codes

Specialty
Family Medicine

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