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Organization
MEDICAL & SURGICAL CLINIC OF NORWALK A MEDICAL CORPORATION
Active
Organization
MEDICAL & SURGICAL CLINIC OF NORWALK A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOUCHEHR ESMAILI (PRESIDENT)
(562) 868-5757
Entity
Organization
Contact information
Practice address
13132 STUDEBAKER RD, SUITE 1, NORWALK, CA 90650-2557
(562) 868-5757
(562) 863-9445
Mailing address
13132 STUDEBAKER RD, SUITE 1, NORWALK, CA 90650-2557
(562) 868-5757
(562) 863-9445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A411330
—
CA
Enumeration date
02/21/2008
Last updated
04/08/2015
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