Boutros, Adel
Boutros, Adel is an sole proprietor health care provider with primary practice located at 22611 Lake Forest Dr , Lake Forest CA 92630-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boutros, Adel can be contacted via phone (949) 951-9399.Contact Information
Primary practice address
22611 Lake Forest Dr
Lake Forest CA 92630-1700
Phone: (949) 951-9399
Fax: (949) 951-9403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A47792 | California |
Profile Details
| NPI number | 1700952827 |
|---|---|
| LBN Legal business name | Boutros, Adel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700952827 | NPPES |
| California | MEDICAID | 00A477921 | |
| California | Other | A47792 |
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