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Contact Information

ARCHWAY MEDICAL GROUP, INC
999 N TUSTIN AVE STE 15
SANTA ANA, CA92705-6504
 Phone: 714-564-8287
 Fax: 714-564-0014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ARCHWAY MEDICAL GROUP INC · (Female)

NPI Number 1467656223
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2007
Last updated 11/04/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G72410
  • CA Other G72410 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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