Organization Active NPI

Danielle K Moul MD Inc Apc

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1750718631
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A104213 Issued in CA
Legal business name
DANIELLE K MOUL MD INC APC
Practice address
26730 Crown Valley Pkwy
Suite 250
Mission Viejo, CA 92691-6364
Phone
(949) 364-2440
Fax
(949) 364-2778
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Danielle Kathleen Moul, M.D.
Title
Owner/Physician
Phone
(949) 715-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A104213 CA Primary

Addresses

Primary practice location

26730 Crown Valley Pkwy
Suite 250
Mission Viejo, CA 92691-6364

Mailing address

303 Broadway St
Suite 104 PMB 135
Laguna Beach, CA 92651-1816
Phone (949) 715-5676

National Provider Directory

National Provider Directory

Locations

303 Broadway St
Laguna Beach, CA 92651

303 Broadway St
Ste 104
Laguna Beach, CA 92651
Phone (410) 952-6996

3105 Cedar Ravine Rd
Placerville, CA 95667
Phone (925) 786-0738

3105 Cedar Ravine Rd
Ste 201
Placerville, CA 95667
Phone (530) 295-9490

1544 Eureka Rd
Ste 160
Roseville, CA 95661
Phone (916) 772-0200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1750718631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST",
            "address_2": "SUITE 104 PMB 135",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816",
            "telephone_number": "949-715-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY",
            "address_2": "SUITE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-2440",
            "fax_number": "949-364-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE K MOUL MD INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MOUL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "949-715-5676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A104213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.