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Organization
FARIED BANIMAHD MD INC
Active
Organization
FARIED BANIMAHD MD INC
Active
Other names
South County Addiction and Treatment Center, Zephyr Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIED BANIMAHD MD (CHIEF MEDICAL AND EXECUTIVE OFFICER)
(949) 305-8910
Entity
Organization
Contact information
Practice address
1533 E 4TH ST STE 4, SANTA ANA, CA 92701-5115
(949) 347-8721
(949) 347-8709
Mailing address
1835 NEWPORT BLVD STE A109-559, COSTA MESA, CA 92627-5031
(949) 347-8721
(949) 347-8709
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
01/10/2020
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