Organization
AJAY G. MEKA M.D. INC.
Active
Other names
AMISTAD MEDICAL CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY G. MEKA M.D. (PRESIDENT)
(714) 979-5734
Entity
Organization
Contact information
Practice address
201 S BROADWAY, SANTA ANA, CA 92701-5633
(714) 571-4941
Mailing address
2740 S BRISTOL ST, SUITE 208, SANTA ANA, CA 92704-6209
(714) 979-5734
(714) 979-7157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A37201
CA
207R00000X
Internal Medicine Physician
Primary
A39761
CA
207R00000X
Internal Medicine Physician
A50217
CA
Other
Enumeration date
08/21/2006
Last updated
09/05/2019
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