Organization · NPI-2

Anaheim Family Medical INC

General Practice · Anaheim, CA

NPI number1225225543
StatusActive
Last updated in NPPESSep 24, 2010

Details

NPI
1225225543
Entity type
Organization (NPI-2)
Legal business name
Anaheim Family Medical INC
Organization subpart
No
Enumeration date
Oct 1, 2007
Last updated
Sep 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeA49801CAYes

Practice location

1801 W Romneya Dr
Suite 305
Anaheim, CA 92801-1825

Phone 714-999-5948 · Fax 714-999-0930

Mailing address

Po Box 10073
Fullerton, CA 92888-9998

Phone 714-999-5948 · Fax 714-999-0930

Authorized official

Elaheh Farshidi
President
7149995948

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