Individual
DR. AISHA MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 BAKER ST STE A101, COSTA MESA, CA 92626-4407
(714) 668-2500
(714) 668-2515
Mailing address
PO BOX 2218, SUISUN CITY, CA 94585-5218
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A139079
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A139079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB281977
MEDICARE
CA
Enumeration date
07/01/2013
Last updated
07/21/2023
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