# ADVANCED ANESTHESIA MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093049413
- **Authorized official:** MAGUED R FADLY MD (PRESIDENT)
- **Authorized official phone:** (714) 841-4400

## Contact information

- **Practice address:** 18800 DELAWARE ST, SUITE 670, HUNTINGTON BEACH, CA 92648-1959
- **Practice address phone:** (714) 841-4400
- **Practice address fax:** (714) 841-4414
- **Mailing address:** 18800 DELAWARE ST, SUITE 670, HUNTINGTON BEACH, CA 92648-1959
- **Mailing address phone:** (714) 841-4400
- **Mailing address fax:** (714) 841-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A64236 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009