Individual
MIR M MADANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 KATELLA AVE, STE 310, LOS ALAMITOS, CA 90720-3338
(562) 598-2141
Mailing address
PO BOX 827, LOS ALAMITOS, CA 90720-0827
(562) 598-2141
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A66572
CA
Other
Enumeration date
08/02/2006
Last updated
07/09/2007
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