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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 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.

NPI Number 1912556721
LBN Legal business name AMISTAD MULTI SPECIALTY MEDICAL GROUP INC.
Authorized official AJAY MEKA - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2019
Last updated 09/07/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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