Organization
CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED W ANSARI MD (MANAGING MEMBER)
(816) 585-4373
Entity
Organization
Contact information
Practice address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(816) 585-4373
Mailing address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us