Lake Forest Medical Group, Inc. | |
24401 Muirlands Blvd Suite #a Lake Forest CA 92630-3948 | |
(949) 770-1950 | |
(949) 770-8599 |
Full Name | Lake Forest Medical Group, Inc. |
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Speciality | Family Medicine |
Location | 24401 Muirlands Blvd, Lake Forest, California |
Authorized Official Name and Position | John C Koumas (OWNER) |
Authorized Official Contact | 9497701950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lake Forest Medical Group, Inc. 24401 Muirlands Blvd Suite #a Lake Forest CA 92630-3948 Ph: (949) 770-1950 | Lake Forest Medical Group, Inc. 24401 Muirlands Blvd Suite #a Lake Forest CA 92630-3948 Ph: (949) 770-1950 |
NPI Number | 1558429092 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 09/17/2008 |
Medicare PECOS PAC ID | 3274594650 |
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Medicare Enrollment ID | O20041019001334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558429092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A5515 (California) | Primary |
Provider Name | John C Koumas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134111958 PECOS PAC ID: 4981665379 Enrollment ID: I20041020001393 |
Provider Name | Mary Koumas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306838909 PECOS PAC ID: 2769549310 Enrollment ID: I20090325000724 |
Total Body Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24401 Muirlands Blvd Ste C, Lake Forest, CA 92630 Phone: 949-855-8845 Fax: 949-855-9167 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22741 Lambert St Ste 1608, Lake Forest, CA 92630 Phone: 949-581-3011 Fax: 949-581-6457 | |
Zoom Therapy Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22792 Centre Dr Ste 104, Lake Forest, CA 92630 Phone: 949-606-4681 | |
Vituity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22855 Lake Forest Dr, Suite A, Lake Forest, CA 92630 Phone: 949-770-1023 | |
Camino Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22481 Aspan St Ste A, Lake Forest, CA 92630 Phone: 949-240-2030 Fax: 949-429-7627 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22855 Lake Forest Dr, # A, Lake Forest, CA 92630 Phone: 949-452-7544 | |
California Functional Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22972 El Toro Rd, Lake Forest, CA 92630 Phone: 949-339-5272 |