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MED ONE FAMILY MEDICAL GROUP NPI 1578520144


NPI Information

NPI: 1578520144
Provider Name: MED ONE FAMILY MEDICAL GROUP

Other Name: AFDAL ALLAM MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8970 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 848-7757
Get Directions

MED ONE FAMILY MEDICAL GROUP is a family medicine in Fountain Valley, CA. The provider is 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. MED ONE FAMILY MEDICAL GROUP NPI is 1578520144. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Afdal Allam Md.

The provider's business location address is:

8970 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 848-7757
Fax: (714) 848-7760

The provider's authorized official is Afdal Ibrahim Allam .
The authorized official title is Medical Director and has the following contact phone number (714) 848-7757.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA41057CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WA80879AMEDICARE PIN
2C49074MEDICARE UPIN
3I08195MEDICARE UPIN
4A29287MEDICARE UPIN
5WG83528AMEDICARE PIN
6W14714MEDICARE PIN
7GR0094190MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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