Organization
ANATOMICAL IMPAIRMENT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GHAZALA AHMED (SECRETARY)
(714) 284-0111
Entity
Organization
Contact information
Practice address
2500 E. BALL ROAD STE 200, ANAHEIM, CA 92806
(714) 284-0111
(714) 284-0433
Mailing address
2500 E. BALL ROAD STE 200, ANAHEIM, CA 92806
(714) 284-0111
(714) 284-0433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP41580
CA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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