| Montrose Medical Group | |
|
2490 Honolulu Ave Ste 128 Montrose CA 91020-1800 | |
| (510) 300-5473 | |
| Not Available |
| Full Name | Montrose Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2490 Honolulu Ave Ste 128, Montrose, California |
| Authorized Official Name and Position | Faisal Uraizee (CEO) |
| Authorized Official Contact | 5103005473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montrose Medical Group 4684 Ariel Ave Fremont CA 94555-2008 Ph: (510) 300-5473 | Montrose Medical Group 2490 Honolulu Ave Ste 128 Montrose CA 91020-1800 Ph: (510) 300-5473 |
| NPI Number | 1508575937 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 12/11/2022 |
| Medicare PECOS PAC ID | 6103297254 |
|---|---|
| Medicare Enrollment ID | O20230127000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508575937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Faisal V Uraizee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295392686 PECOS PAC ID: 3072997113 Enrollment ID: I20220908002121 |
| Provider Name | Akram Uraizee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033672357 PECOS PAC ID: 8820469976 Enrollment ID: I20230303000503 |
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