CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC

LAKE FOREST, CA
NPI1609633049
Entity TypeOrganization
Authorized ContactMOHAMMED W ANSARI
Managing Member
816-585-4373
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC
22972 EL TORO RD
LAKE FOREST, CA 92630-4961
Phone number: 816-585-4373
Mailing Address
CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC
22972 EL TORO RD
LAKE FOREST, CA 92630-4961
Phone number:
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