Organization
ARROWHEAD NEUROSURGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVED SIDDIQI MD (PRESIDENT ANMG, INC.)
(951) 486-4460
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE STE A2006, MORENO VALLEY, CA 92555-3927
(951) 486-4460
(951) 486-6510
Mailing address
PO BOX 685, COLTON, CA 92324-0685
(951) 486-4460
(951) 486-6510
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR010238
—
CA
Enumeration date
10/31/2006
Last updated
05/24/2023
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