05D2243590 CLIA NUMBER - ZEENATH MASOOD MD INC FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 05D2243590

Facility Name: ZEENATH MASOOD MD INC FAMILY PRACTICE

Facility Address:
3400 W BALL RD STE 205
ANAHEIM, CA
ZIP 92804
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Facility Phone Number: 714 828-2554

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982272217

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2243590
LAB Type	Physician Office
Facility Name	ZEENATH MASOOD MD INC FAMILY PRACTICE
Street	3400 W BALL RD STE 205
City	ANAHEIM
State	CA
ZIP	92804
Phone	714 828-2554
CertificateType	4
CertificateEffectiveDate	11/19/2023
CertificateExpirationDate	11/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024