| Stanford Psychiatry Medical Group | |
|
1300 W. Florida Ave Suite - C Hemet CA 92543 | |
| (805) 952-3517 | |
| Not Available |
| Full Name | Stanford Psychiatry Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 1300 W. Florida Ave, Hemet, California |
| Authorized Official Name and Position | Aliuddin M Khaja (OWNER) |
| Authorized Official Contact | 8059523517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Psychiatry Medical Group 1300 W Florida Ave Ste C Hemet CA 92543-4628 Ph: (805) 952-3517 | Stanford Psychiatry Medical Group 1300 W. Florida Ave Suite - C Hemet CA 92543 Ph: (805) 952-3517 |
| NPI Number | 1154873909 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154873909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | A92186 (California) | Primary |
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