Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Moulton Family Medical, Inc

Organization Family Medicine Physician · NPI 1538190954

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

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

22611 Lake Forest Dr #C-4
Lake Forest, CA 92630
Phone: (949) 951-9399
Fax: (949) 951-9403
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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

Record details

NPI number1538190954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelly Boutros — Owner · (949) 951-9399
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 8095, Fountain Valley, CA 92728-8095

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