Organization
TA COMMUNITY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIK SAHEB MD (EXECUTIVE DIRECTOR)
(619) 330-7402
Entity
Organization
Contact information
Practice address
502 EUCLID AVE STE 302, NATIONAL CITY, CA 91950-2995
(619) 330-7402
(619) 330-5494
Mailing address
4263 TIERRA REJADA RD # 188, MOORPARK, CA 93021-3772
(619) 330-7402
(619) 330-5494
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
06/03/2025
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