Moulton Family Medical, Inc.
NPI #1538190954 in Lake Forest, California
Provider Information
- NPI Number
- 1538190954
- Entity Type
- Organization
- Organization Name
- Moulton Family Medical, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 22611 LAKE FOREST DR. #C-4
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630
- Phone
- (949) 951-9399
Authorized Official
- Name
- NELLY BOUTROS
- Title
- OWNER
- Phone
- (949) 951-9399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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