Organization · NPI-2

A.M. Nisar Syed A Professional Medical Corporation

· Riverside, CA

NPI number1508113523
StatusActive
Last updated in NPPESAug 8, 2012

Details

NPI
1508113523
Entity type
Organization (NPI-2)
Legal business name
A.M. Nisar Syed A Professional Medical Corporation
Organization subpart
No
Enumeration date
Aug 8, 2012
Last updated
Aug 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Practice location

4500 Brockton Ave
101
Riverside, CA 92501-4090

Phone 951-788-3000

Mailing address

2650 Elm Ave
201
Long Beach, CA 90806-1651

Phone 562-492-6695

Authorized official

Alam Syed
Owner
5624926695

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