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303 W Katella Ave Suite 272 Orange CA 92867-4750 | |
| (714) 633-1400 | |
| (714) 633-1405 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 W Katella Ave, Orange, California |
| Authorized Official Name and Position | Magdi Messiha (CEO) |
| Authorized Official Contact | 7146331400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
303 W Katella Ave Suite 272 Orange CA 92867-4750 Ph: (714) 633-1400 | 303 W Katella Ave Suite 272 Orange CA 92867-4750 Ph: (714) 633-1400 |
| NPI Number | 1740532910 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740532910 | NPI | - | NPPES |
| A63313 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63313 (California) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | A63313 (California) | Secondary |
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