BRUCE H. VAN VRANKEN, M.D., INC (NPI# 1467674234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467674234 |
| Entity Type | Organization |
| Organization Name | BRUCE H. VAN VRANKEN, M.D., INC |
| Other Organization Name | LAKE FOREST FAMILY DOCTOR |
| Practice Address |
24400 Muirlands Blvd Suite F Lake Forest CA 92630-3946 |
| Practice Telephone | 9495810400 |
| Practice Fax Number | 9495810694 |
| Mailing Fax Number | 9495810694 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRUCE HARRIS VAN VRANKEN (PRESIDENT) |
| Authorized Official Telephone | 9495810400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
G32570 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Forest Family Doctor | Doing Business As Name - Organization |
| Street Address |
24400 MUIRLANDS BLVD SUITE F |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184663262 | Robert T. Wheeler Jr. | Dentist | 24400 Muirlands Blvd, Suite C, Lake Forest, CA 92630-3946 | 2006-06-05 |
| 1609081611 | Brent Bowling | Dentist | 24400 Muirlands Blvd, Suite A, Lake Forest, CA 92630-3946 | 2007-05-12 |
| 1609880871 | Peter M Kellen | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1699789875 | Steven P Kirsch | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1013921287 | Gary C Jones | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-27 |
| 1811910987 | Jones, Kellen Kirsch Professional Corp. | Dentist | 24400 Muirlands Blvd, Suite D, Lake Forest, CA 92630-3946 | 2006-07-26 |
| 1093742173 | Bruce Harris Van Vranken | Family Medicine | 24400 Muirlands Blvd, Suite F, Lake Forest, CA 92630-3946 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565037 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 22741 Lambert St Ste 1608, Lake Forest, CA 92630-1617 | 2018-10-25 |
| 1285147512 | Han-sol Wellness | Clinic/Center | 22672 Lambert St Ste 616, Lake Forest, CA 92630-1613 | 2017-11-08 |
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| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on BRUCE H. VAN VRANKEN, M.D., INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.