Organization
W. WASEF ATIYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASEF Y ATIYA MD (OWNER)
(951) 658-7284
Entity
Organization
Contact information
Practice address
1011 E DEVONSHIRE AVE, SUITE 101, HEMET, CA 92543-3033
(951) 658-7284
(951) 766-5004
Mailing address
1011 E DEVONSHIRE AVE, SUITE 101, HEMET, CA 92543-3033
(951) 658-7284
(951) 766-5004
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A32839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087351
—
CA
Enumeration date
03/25/2008
Last updated
03/25/2008
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