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Organization
ALLIANCE OF LATINO HEALTH SERVICES MEDICAL GROUP INC
Active
Organization
ALLIANCE OF LATINO HEALTH SERVICES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHTAQ AHMAD KHAN MD (OWNER)
(657) 267-7263
Entity
Organization
Contact information
Practice address
517 N MAIN ST STE 220, SANTA ANA, CA 92701-6703
(657) 267-7263
(714) 647-0135
Mailing address
517 N MAIN ST STE 220, SANTA ANA, CA 92701-6703
(657) 267-7263
(714) 647-0135
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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