Organization
SANTA MARIA MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVEH KARANDISH MD (CEO/OWNER)
(714) 953-6430
Entity
Organization
Contact information
Practice address
1701 E MCFADDEN AVE STE D, SANTA ANA, CA 92705-4647
(714) 953-6430
Mailing address
1701 E MCFADDEN AVE STE D, SANTA ANA, CA 92705-4647
(714) 953-6430
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/06/2023
Last updated
08/26/2024
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