Organization · NPI-2

Advanced Family Practice Specialty, INC.

Family Medicine · Irvine, CA

NPI number1083887202
StatusActive
Last updated in NPPESApr 9, 2008

Details

NPI
1083887202
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Practice Specialty, INC.
Organization subpart
No
Enumeration date
Apr 9, 2008
Last updated
Apr 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0A73928CAYes

Practice location

4950 Barranca Pkwy Ste 111
Irvine, CA 92604-4630

Phone 949-654-0660 · Fax 949-654-0640

Mailing address

4950 Barranca Pkwy. Suite 111
Irvine, CA 92604-4630

Phone 949-654-0660 · Fax 949-654-0640

Authorized official

Mahshid Elmzadeh
Secretary
9496540660

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