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Organization

MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION

Active
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Organization

MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIR M MADANI M.D. (PRESIDENT)
(562) 598-2141
Entity
Organization

Contact information

Practice address
3801 KATELLA AVE, SUITE 310, LOS ALAMITOS, CA 90720-3338
(562) 598-2141
(562) 598-1649
Mailing address
3801 KATELLA AVE, SUITE 310, LOS ALAMITOS, CA 90720-3338
(562) 598-2141
(562) 598-1649

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
01/10/2008
Last updated
09/04/2010
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