Dr. Michael Vance Molyneaux, M.D.

Family Medicine in Laguna Niguel, CA. Individual provider (NPI-1).

NPI number1154579142

StatusActive

Last updated in NPPESMay 24, 2022

Details

NPI: 1154579142
Entity type: Individual (NPI-1)
Name: Dr. Michael Vance Molyneaux
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 3, 2008
Certification date: May 24, 2022
Last updated: May 24, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	C130733	CA	Yes
207Q00000X	Family Medicine	036-098965	IL

Practice location

30011 Ivy Glenn Dr Ste 215
Laguna Niguel, CA 92677-5018

Phone 949-403-0828 · Fax 949-481-9353

Mailing address

30011 Ivy Glenn Dr Ste 215
Laguna Niguel, CA 92677-5018

Phone 949-403-0828 · Fax 949-481-9353

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Laguna Niguel, CA

All 32 Family Medicine Physician providers in Laguna Niguel · All 1,230 providers in Laguna Niguel

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