National Provider Identifier Database

AMISTAD MULTI SPECIALTY MEDICAL GROUP INC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.
201 S BROADWAY
SANTA ANA, CA92701-5633
Phone: 714-571-4941
Fax: 714-571-4941
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Dermatology 207N00000X
Gastroenterology 207RG0100X
Geriatric Medicine 207RG0300X
Nephrology 207RN0300X
Public Health & General Preventive Medicine 2083P0901X

* Indicates primary specialty

NPI Profile & details for AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.

NPI Number 1912556721
Legal business name
LBN
AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.
Authorized official AJAY MEKA - (PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 09/05/2019
Last updated 09/07/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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