Autumn Medical Group
Family Medicine in Whittier, CA. Organization (NPI-2).
NPI number1881746022
StatusActive
Last updated in NPPESDec 20, 2012
Details
- NPI
- 1881746022
- Entity type
- Organization (NPI-2)
- Legal business name
- Autumn Medical Group
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Dec 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | a84718 | CA | Yes |
Practice location
9200 Colima RdSuite 207
Whittier, CA 90605-1814
Phone 562-945-0252 · Fax 562-945-0901
Mailing address
9200 Colima RdSuite 207
Whittier, CA 90605-1814
Phone 562-945-0252 · Fax 562-945-0901
Authorized official
Nasir A Mohammedi
Ceo
5629450252
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