Organization · NPI-2

Mid-Pacific Medical Group, Apc.

Physical Medicine & Rehabilitation, Sports Medicine · Westminster, CA

NPI number1386983534
StatusActive
Last updated in NPPESFeb 7, 2013

Details

NPI
1386983534
Entity type
Organization (NPI-2)
Legal business name
Mid-Pacific Medical Group, Apc.
Organization subpart
No
Enumeration date
Feb 7, 2013
Last updated
Feb 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports MedicineA62362CAYes

Practice location

13950 Milton Ave Ste 404
Westminster, CA 92683-2939

Phone 714-568-1100 · Fax 714-568-1101

Mailing address

13950 Milton Ave Ste 404
Westminster, CA 92683-2939

Phone 714-568-1100 · Fax 714-568-1101

Authorized official

Rahil Rashid Khan
Owner
3108775692

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