Organization
MEDEXA MEDICAL GROUP, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILUVAN HASSAN (SECRETARY)
(949) 832-1055
Entity
Organization
Contact information
Practice address
2204 E 4TH ST STE 106, SANTA ANA, CA 92705-3868
(949) 832-1055
Mailing address
2204 E 4TH ST STE 106, SANTA ANA, CA 92705-3868
(949) 832-1055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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