Search › California › 207Q00000X
Mary Koumas, D.O
NPI 1306838909 · on the registry since 2005
Practice
- Address
- 24401 Muirlands Blvd
Suite #A
Lake Forest, CA 92630 - Phone
- (949) 770-1950
- Fax
- (949) 770-8599
- Organisation at this address
- Total Body Healthcare, Inc.
Lake Forest Medical Group, Inc.
Nancy Mchale,Dds And Paula Wilson, DdsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California