| Mohamed F Al-sadek Md A Professional Corporation | |
|
17100 Euclid St Fountain Valley CA 92708-4004 | |
| (714) 966-7200 | |
| Not Available |
| Full Name | Mohamed F Al-sadek Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 17100 Euclid St, Fountain Valley, California |
| Authorized Official Name and Position | Mohamed F Al-sadek (PRESIDENT/OWNER) |
| Authorized Official Contact | 9492780405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed F Al-sadek Md A Professional Corporation 837 Amigos Way Newport Beach CA 92660-4513 Ph: (949) 278-0405 | Mohamed F Al-sadek Md A Professional Corporation 17100 Euclid St Fountain Valley CA 92708-4004 Ph: (714) 966-7200 |
| NPI Number | 1518232081 |
|---|---|
| Provider Enumeration Date | 03/17/2012 |
| Last Update Date | 03/17/2012 |
| Medicare PECOS PAC ID | 5991968513 |
|---|---|
| Medicare Enrollment ID | O20120518000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518232081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohamed Fekry Al Sadek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154353829 PECOS PAC ID: 5496776023 Enrollment ID: I20051212000339 |
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