Molly Anne Churlonis Valid NPI
Individual provider · Medical Physician Assistant · Lake Forest, CA
- NPI
- 1699201277
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- PA54884 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-05-03
- Last updated
- 2022-04-05
Practice location
29100 Portola Pkwy Ste G
Lake Forest, CA 92630-8712
(844) 254-6382