Ghulam Y Dostzada Md Inc | |
5300 Katella Ave Los Alamitos CA 90720-2808 | |
(562) 799-0383 | |
Not Available |
Full Name | Ghulam Y Dostzada Md Inc |
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Speciality | Internal Medicine |
Location | 5300 Katella Ave, Los Alamitos, California |
Authorized Official Name and Position | Ghulam Y Dostzada (PRESIDENT) |
Authorized Official Contact | 6619652810 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ghulam Y Dostzada Md Inc Po Box 1602 Los Alamitos CA 90720-1602 Ph: (562) 799-0383 | Ghulam Y Dostzada Md Inc 5300 Katella Ave Los Alamitos CA 90720-2808 Ph: (562) 799-0383 |
NPI Number | 1053599647 |
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Provider Enumeration Date | 02/06/2008 |
Last Update Date | 10/08/2019 |
Medicare PECOS PAC ID | 1456416874 |
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Medicare Enrollment ID | O20090219000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053599647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A76019 (California) | Primary |
Provider Name | Ghulam Y Dostzada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093778649 PECOS PAC ID: 2062418585 Enrollment ID: I20061005000610 |
Charles M Maples Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720 Phone: 562-430-6850 Fax: 562-280-2882 | |
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Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 562-446-0580 | |
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Cancer And Blood Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave, Suite 125, Los Alamitos, CA 90720 Phone: 562-735-0602 Fax: 562-490-8590 | |
T.h. Choi, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 300, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 425-928-4044 |