Moulton Family Medical, Inc.

LBN: Moulton Family Medical, Inc.
Moulton Family Medical, Inc. is an health care organization with primary practice located at 22611 Lake Forest Dr. #C-4 , Lake Forest CA 92630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Moulton Family Medical, Inc. can be contacted via phone (949) 951-9399, or through Boutros, Nelly via phone (949) 951-9399.

Contact Information

Primary practice address
22611 Lake Forest Dr. #C-4 Lake Forest CA 92630
Phone: (949) 951-9399
Fax: (949) 951-9403
Website:
Map and Directions
Authorized official contact:
Name: Boutros, Nelly
Phone: (949) 951-9399

Health care specialties

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

Profile Details

NPI number 1538190954
LBN Legal business name Moulton Family Medical, Inc.
DBA Doing business as
Authorized official Boutros, Nelly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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