Organization
HUNTINGTON TRAUMA SURGERY MED GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAL K OBAID MD (PRESIDENT)
(626) 683-3030
Entity
Organization
Contact information
Practice address
1044 S FAIR OAKS AVE, SUITE 101, PASADENA, CA 91105-2622
(626) 449-4859
(626) 403-0311
Mailing address
PO BOX 80248, SAN MARINO, CA 91118-8248
(626) 768-4415
(626) 768-4421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A75419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP32017
FICTITIOUS NAME PERMIT
CA
Enumeration date
09/16/2010
Last updated
09/16/2010
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