Organization · NPI-2

Advanced Family Medical Group, INC

Family Medicine · Anaheim, CA

NPI number1710091103
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1710091103
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Medical Group, INC
Organization subpart
No
Enumeration date
Aug 19, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1771-B W. Romneya Drive
Anaheim, CA 92801-1816

Phone 714-490-1200 · Fax 562-531-3596

Mailing address

1771-B W. Romneya Drive
Anaheim, CA 92801-1816

Phone 714-490-1200 · Fax 562-531-3596

Authorized official

Chander Sharma
MD
7144901200

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