| Anaheim Medical Group Inc | |
|
2571 W La Palma Ave Anaheim CA 92801-2622 | |
| (714) 827-9797 | |
| (714) 827-5377 |
| Full Name | Anaheim Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2571 W La Palma Ave, Anaheim, California |
| Authorized Official Name and Position | Cristina Habecyh (OFFICE MANAGER) |
| Authorized Official Contact | 7148279797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Medical Group Inc 2571 W La Palma Ave Anaheim CA 92801-2622 Ph: (714) 827-9797 | Anaheim Medical Group Inc 2571 W La Palma Ave Anaheim CA 92801-2622 Ph: (714) 827-9797 |
| NPI Number | 1013217389 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 3779835491 |
|---|---|
| Medicare Enrollment ID | O20181008003157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013217389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kambiz Afrasiabi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578572368 PECOS PAC ID: 4284717414 Enrollment ID: I20080212000317 |
| Provider Name | Kaveh Karandish |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346485919 PECOS PAC ID: 2769528702 Enrollment ID: I20201009000221 |
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