| Mpn, Medical Providers Group, Inc. | |
|
1811 E Center St 210 Anaheim CA 92805-3401 | |
| (714) 399-0596 | |
| (714) 399-0597 |
| Full Name | Mpn, Medical Providers Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1811 E Center St, Anaheim, California |
| Authorized Official Name and Position | Michael L Streams (DIRECTOR) |
| Authorized Official Contact | 7143990596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpn, Medical Providers Group, Inc. 235 Verbena Ln Brea CA 92823-7055 Ph: (714) 392-6905 | Mpn, Medical Providers Group, Inc. 1811 E Center St 210 Anaheim CA 92805-3401 Ph: (714) 399-0596 |
| NPI Number | 1366672099 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366672099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C34005 (California) | Primary |
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