Organization
SA MEDICAL PHYSICIANS OF CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI JOHN ENAYATI MD (MEMBER)
(310) 551-1711
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1806, LOS ANGELES, CA 90067-2001
(310) 551-1711
(310) 551-1311
Mailing address
145 US HIGHWAY 46, SUITE 304, WAYNE, NJ 07470-6830
(973) 894-1263
(888) 972-3703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
04/16/2014
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