# MEDEXA MEDICAL GROUP, CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982417101
- **Authorized official:** DILUVAN HASSAN (SECRETARY)
- **Authorized official phone:** (949) 832-1055

## Contact information

- **Practice address:** 2204 E 4TH ST STE 106, SANTA ANA, CA 92705-3868
- **Practice address phone:** (949) 832-1055
- **Mailing address:** 2204 E 4TH ST STE 106, SANTA ANA, CA 92705-3868
- **Mailing address phone:** (949) 832-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025