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Organization

MUNTHER ALQAISI M.D. A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUNTHER ALQAISI MD (OWNER)
(562) 492-6695
Entity
Organization

Contact information

Practice address
4500 BROCKTON AVE, 101, RIVERSIDE, CA 92501-4090
(562) 492-6695
(562) 492-6695
Mailing address
2650 ELM AVE, 201, LONG BEACH, CA 90806-1651
(562) 492-6695
(562) 988-0389

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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