Organization
MED-PRO FAMILY CLINIC, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAYEEDA SULTANA MD (MEDICAL DIRECTOR)
(310) 635-3800
Entity
Organization
Contact information
Practice address
221 E. GLENOAKS BLVD., 130, GLENDALE, CA 91207
(818) 549-1713
(818) 549-1716
Mailing address
11017 S. ATLANTIC AVE., 1ST FLOOR, LYNWOOD, CA 90262
(310) 635-3800
(310) 635-5448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085430
—
CA
Enumeration date
10/10/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us