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

Molly Anne Churlonis

Individual provider Medical Physician Assistant · NPI 1699201277

Molly Anne Churlonis is a Medical Physician Assistant in Lake Forest, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

29100 Portola Pkwy Ste G
Lake Forest, CA 92630-8712
Phone: (844) 254-6382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA54884 (CA)

Record details

NPI number1699201277
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address147 W Canada Apt B, San Clemente, CA 92672-4664

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