Organization
ALLIANCE OF LATINO HEALTH SERVICES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHTAQ AHMAD KHAN MD (OWNER)
(657) 267-7263
Entity
Organization
Contact information
Practice address
517 N MAIN ST STE 220, SANTA ANA, CA 92701-6703
(657) 267-7263
(714) 647-0135
Mailing address
517 N MAIN ST STE 220, SANTA ANA, CA 92701-6703
(657) 267-7263
(714) 647-0135
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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