Lake Forest Medical Group, Inc.
NPI #1558429092 in Lake Forest, California
Provider Information
- NPI Number
- 1558429092
- Entity Type
- Organization
- Organization Name
- Lake Forest Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 24401 MUIRLANDS BLVD
- Address 2
- SUITE #A
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-3948
- Phone
- (949) 770-1950
Authorized Official
- Name
- DR. JOHN C KOUMAS
- Title
- OWNER
- Phone
- (949) 770-1950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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