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Organization
MED ONE FAMILY MEDICAL GROUP
Active
Organization
MED ONE FAMILY MEDICAL GROUP
Active
Other names
Afdal Allam MD
Organization subpart
No
Provider details
NPI number
Authorized official
AFDAL IBRAHIM ALLAM MD (MEDICAL DIRECTOR)
(714) 848-7757
Entity
Organization
Contact information
Practice address
8970 WARNER AVE, FOUNTAIN VALLEY, CA 92708
(714) 848-7757
(714) 848-7760
Mailing address
8970 WARNER AVE, FOUNTAIN VALLEY, CA 92708
(714) 848-7757
(714) 848-7760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094190
—
CA
Enumeration date
04/27/2006
Last updated
02/13/2008
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