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

Moulton Family Medical, Inc

Organization Family Medicine Physician · NPI 1538190954

Moulton Family Medical, Inc is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Lake Forest