| NPI | 1932214657 |
|---|---|
| Other Name | AMISTAD MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | AJAY G. MEKA President 714-979-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A39761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A37201) |
| 207R00000X Internal Medicine (Licence: CA A50217) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-09-05 |