Boutros, Adel

Boutros, Adel is an sole proprietor health care provider with primary practice located at 22611 Lake Forest Dr , Lake Forest CA 92630-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boutros, Adel can be contacted via phone (949) 951-9399.

Contact Information

Primary practice address
22611 Lake Forest Dr Lake Forest CA 92630-1700
Phone: (949) 951-9399
Fax: (949) 951-9403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A47792 California

Profile Details

NPI number 1700952827
LBN Legal business name Boutros, Adel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700952827 NPPES
California MEDICAID 00A477921
California Other A47792

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