Organization
ALVARADO-LA MESA UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED BIDAIR M.D. (PRESIDENT)
(619) 229-2626
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY STE 250A, LA MESA, CA 91942-3134
(619) 229-2626
(619) 286-5412
Mailing address
8881 FLETCHER PKWY STE 250A, LA MESA, CA 91942-3134
(619) 229-2626
(619) 286-5412
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G67528
CA
Other
Enumeration date
01/22/2007
Last updated
07/26/2023
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