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

Lake Forest Medical Group, Inc

Organization Family Medicine Physician · NPI 1558429092

Lake Forest Medical Group, Inc is a Family Medicine Physician 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
Phone: (949) 770-1950
Fax: (949) 770-8599
Show map & directions

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

Other providers in Lake Forest