Organization
FERAS AND HISHAM A MEDICAL CORPORATION
Active
Organization
FERAS AND HISHAM A MEDICAL CORPORATION
Active
Other names
FAMILY FIRST MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MOSEN M DEFRAWY MD (OWNER/MEDICAL DIRECTOR)
(909) 464-0520
Entity
Organization
Contact information
Practice address
2112 S GAREY AVE, SUITE C, POMONA, CA 91766-5600
(909) 464-0520
(909) 464-0523
Mailing address
2112 S GAREY AVE, SUITE C, POMONA, CA 91766-5600
(909) 464-0520
(909) 464-0523
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A30899
CA
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083747612
—
CA
Enumeration date
02/28/2008
Last updated
12/10/2024
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