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Organization
PRESTIGE MED INC
Active
Organization
PRESTIGE MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH Y MARDANZAI MD (OWNER)
(925) 736-1000
Entity
Organization
Contact information
Practice address
11030 BOLLINGER CANYON RD, SUITE 240, SAN RAMON, CA 94582-4874
(925) 736-1000
(925) 736-1055
Mailing address
11030 BOLLINGER CANYON RD, SUITE 240, SAN RAMON, CA 94582-4874
(925) 736-1000
(925) 736-1055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A80856
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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