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AMISTAD MULTI SPECIALTY MEDICAL GROUP INC
Cardiovascular Disease

NPI Profile for AMISTAD MULTI SPECIALTY MEDICAL GROUP INC in SANTA ANA, CA.

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Contact Information

AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.
201 S BROADWAY
SANTA ANA, CA  92701-5633
 Phone: 714-571-4941
 Fax: 714-571-4941
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

 207RC0000X 11 Physician/Internal Medicine
 

Dermatology

 207N00000X 07 Physician/Dermatology
 

Gastroenterology

 207RG0100X 10 Physician/Gastroenterology
 

Geriatric Medicine

 207RG0300X 11 Physician/Internal Medicine
 

Nephrology

 207RN0300X 11 Physician/Internal Medicine
 

Public Health & General Preventive Medicine

 2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for AMISTAD MULTI SPECIALTY MEDICAL GROUP INC · (Female)

NPI Number 1912556721
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2019
Last updated 09/07/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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