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Organization

MAHMOUD A. KREIDIE

Active
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Organization

MAHMOUD A. KREIDIE

Active
Other names
Neurology Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE KREIDIE M.D. (OWNER)
(949) 348-8880
Entity
Organization

Contact information

Practice address
26932 OSO PKWY, SUITE 240, MISSION VIEJO, CA 92691-5815
(949) 348-8880
Mailing address
26932 OSO PKWY, SUITE 240, MISSION VIEJO, CA 92691-5815
(949) 348-8880

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A29528
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A295280
CA
01
ZZZ62117Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
04/10/2007
Last updated
06/20/2008
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