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Individual

DR. ATUL MADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 W STEWART DR STE 310, ORANGE, CA 92868-3838
(562) 270-5411
(424) 248-0985
Mailing address
10573 W PICO BLVD # 859, LOS ANGELES, CA 90064-2333
(310) 869-7776
(866) 933-0664

Taxonomy

Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
C53803
CA
208600000X
Surgery Physician
Primary
C53803
CA
2086P0122X
Physician Nutrition Specialist (Surgery)
C53803
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3876107
TN
Enumeration date
04/21/2006
Last updated
04/15/2025
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