Koumas, Mary M
Koumas, Mary M is an individual health care provider with primary practice located at 24401 Muirlands Blvd Suite #A, Lake Forest CA 92630-3948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koumas, Mary M can be contacted via phone (949) 770-1950.Contact Information
Primary practice address
24401 Muirlands Blvd Suite #A
Lake Forest CA 92630-3948
Phone: (949) 770-1950
Fax: (949) 770-8599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A4402 | California |
Profile Details
| NPI number | 1306838909 |
|---|---|
| LBN Legal business name | Koumas, Mary M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 9th, 2008 - about 18 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.
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