Organization
AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY G MEKA MD (PRESIDENT & CEO)
(714) 571-4941
Entity
Organization
Contact information
Practice address
201 S BROADWAY, SANTA ANA, CA 92701-5633
(714) 571-4941
(714) 571-4941
Mailing address
201 S BROADWAY, SANTA ANA, CA 92701-5633
(714) 571-4941
(714) 571-4941
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
09/05/2019
Last updated
09/07/2019
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