Organization
MUKADAM MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HYDER MUKADAM M.D. (OWNER)
(714) 853-9312
Entity
Organization
Contact information
Practice address
1733 ADDISON RD, PALOS VERDES ESTATES, CA 90274-1812
(714) 853-9314
(714) 771-8481
Mailing address
1733 ADDISON RD, PALOS VERDES ESTATES, CA 90274-1812
(714) 853-9314
(714) 771-8481
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3511191
CA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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