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Organization
PACIFIC WAVECREST MEDICAL CORPORATION
Active
Organization
PACIFIC WAVECREST MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GHAZALA AHMED (SECRETARY)
(714) 284-0111
Entity
Organization
Contact information
Practice address
2500 E BALL RD, STE 200, ANAHEIM, CA 92806-5054
(714) 284-0111
Mailing address
2500 E BALL RD, STE 200, ANAHEIM, CA 92806-5054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43843
CA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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