Organization
DANIELLE K MOUL MD INC APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE KATHLEEN MOUL M.D. (OWNER/PHYSICIAN)
(949) 715-5676
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, SUITE 250, MISSION VIEJO, CA 92691-6364
(949) 364-2440
(949) 364-2778
Mailing address
303 BROADWAY ST, SUITE 104 PMB 135, LAGUNA BEACH, CA 92651-1816
(949) 715-5676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A104213
CA
Other
Enumeration date
10/08/2013
Last updated
11/06/2013
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