| Advanced Family Practice Specialty, Inc. | |
|
4950 Barranca Pkwy Ste 111 Irvine CA 92604-4630 | |
| (949) 654-0660 | |
| (949) 654-0640 |
| Full Name | Advanced Family Practice Specialty, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4950 Barranca Pkwy Ste 111, Irvine, California |
| Authorized Official Name and Position | Mahshid Elmzadeh (SECRETARY) |
| Authorized Official Contact | 9496540660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Practice Specialty, Inc. 4950 Barranca Pkwy. Suite 111 Irvine CA 92604-4630 Ph: (949) 654-0660 | Advanced Family Practice Specialty, Inc. 4950 Barranca Pkwy Ste 111 Irvine CA 92604-4630 Ph: (949) 654-0660 |
| NPI Number | 1083887202 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083887202 | NPI | - | NPPES |
| 5 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0A73928 (California) | Primary |
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