Lake Forest Medical Group, Inc.
NPI 1558429092ActiveOrganization· Family Medicine· Lake Forest, CA
Family Medicine in Lake Forest, California, registered in NPPES in December 2006. The authorized official on file is John C. Koumas, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558429092 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Sep 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 20A5515 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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