Anjum B Qazi M D A Professional Corporation | |
2173 Lomita Blvd Ste 104 Lomita CA 90717-1636 | |
(424) 305-4169 | |
(310) 791-7409 |
Full Name | Anjum B Qazi M D A Professional Corporation |
---|---|
Speciality | Internal Medicine |
Location | 2173 Lomita Blvd Ste 104, Lomita, California |
Authorized Official Name and Position | Anjum B Qazi (PRESIDENT) |
Authorized Official Contact | 3107505359 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anjum B Qazi M D A Professional Corporation 2173 Lomita Blvd Ste 104 Lomita CA 90717-1636 Ph: (424) 305-4169 | Anjum B Qazi M D A Professional Corporation 2173 Lomita Blvd Ste 104 Lomita CA 90717-1636 Ph: (424) 305-4169 |
NPI Number | 1124154703 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 12/27/2023 |
Medicare PECOS PAC ID | 6103927710 |
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Medicare Enrollment ID | O20070726000632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124154703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A88843 (California) | Primary |
Provider Name | Anjum Qazi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538180492 PECOS PAC ID: 1557375193 Enrollment ID: I20060202000504 |
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