| Anaheim Family Medical Inc | |
|
1801 W Romneya Dr Suite 305 Anaheim CA 92801-1825 | |
| (714) 999-5948 | |
| (714) 999-0930 |
| Full Name | Anaheim Family Medical Inc |
|---|---|
| Speciality | General Practice |
| Location | 1801 W Romneya Dr, Anaheim, California |
| Authorized Official Name and Position | Elaheh Farshidi (PRESIDENT) |
| Authorized Official Contact | 7149995948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Family Medical Inc Po Box 10073 Fullerton CA 92888-9998 Ph: (714) 999-5948 | Anaheim Family Medical Inc 1801 W Romneya Dr Suite 305 Anaheim CA 92801-1825 Ph: (714) 999-5948 |
| NPI Number | 1225225543 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 09/24/2010 |
| Medicare PECOS PAC ID | 4688760879 |
|---|---|
| Medicare Enrollment ID | O20071018000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225225543 | NPI | - | NPPES |
| 00A498010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A49801 (California) | Primary |
| Provider Name | Elaheh Farshidi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245277789 PECOS PAC ID: 4587753058 Enrollment ID: I20101123001098 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
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