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Organization
JAMACHA MEDICAL GROUP INC
Active
Organization
JAMACHA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD ANWARUL AZAM M.D. (OWNER)
(619) 579-6300
Entity
Organization
Contact information
Practice address
1679 E MAIN ST, SUITE 206, EL CAJON, CA 92021-5212
(619) 579-6300
(619) 579-0040
Mailing address
1679 E MAIN ST, SUITE 206, EL CAJON, CA 92021-5212
(619) 579-6300
(619) 579-0040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A52314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0052314
—
CA
Enumeration date
07/29/2014
Last updated
07/29/2014
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