# MOULTON PODIATRY GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740387778
- **Authorized official:** DR. GEORGE J MARACZI D.P.M. (PRESIDENT)
- **Authorized official phone:** (949) 495-2506

## Contact information

- **Practice address:** 30001 TOWN CENTER DR STE E2, LAGUNA NIGUEL, CA 92677-2066
- **Practice address phone:** (949) 495-2506
- **Practice address fax:** (949) 495-3715
- **Mailing address:** 30001 TOWN CENTER DR, SUITE E2, LAGUNA NIGUEL, CA 92677-2066
- **Mailing address phone:** (949) 495-2506
- **Mailing address fax:** (949) 495-3715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/24/2014