Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Forest Medical Group, Inc

Organization Family Medicine Physician · NPI 1558429092

Lake Forest Medical Group, Inc provides Family Medicine Physician services in Lake Forest, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24401 Muirlands Blvd Ste #A
Lake Forest, CA 92630-3948 Not confirmed with CMS for 18 years — call before visiting
Phone: (949) 770-1950
Fax: (949) 770-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A5515 (CA)

Record details

NPI number1558429092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Koumas — Owner · (949) 770-1950
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 17, 2008
Mailing address24401 Muirlands Blvd, Suite #A, Lake Forest, CA 92630-3948

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