| Ali R Tajik Md Inc | |
|
3400 W Ball Rd Suite 207 Anaheim CA 92804-3738 | |
| (714) 826-7440 | |
| Not Available |
| Full Name | Ali R Tajik Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3400 W Ball Rd, Anaheim, California |
| Authorized Official Name and Position | Ali R Tajik (OWNER) |
| Authorized Official Contact | 7148267440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali R Tajik Md Inc 3400 W Ball Rd Suite 207 Anaheim CA 92804-3738 Ph: (714) 826-7440 | Ali R Tajik Md Inc 3400 W Ball Rd Suite 207 Anaheim CA 92804-3738 Ph: (714) 826-7440 |
| NPI Number | 1528285848 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/31/2010 |
| Medicare PECOS PAC ID | 8426067935 |
|---|---|
| Medicare Enrollment ID | O20060411000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528285848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A79426 (California) | Primary |
| Provider Name | Ali R Tajik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629020268 PECOS PAC ID: 0042202764 Enrollment ID: I20040401001252 |
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