| Summit Medical Group | |
|
27702 Crown Valley Pkwy Suite D4-113 Ladera Ranch CA 92694-0608 | |
| (949) 529-2330 | |
| (866) 800-5276 |
| Full Name | Summit Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 27702 Crown Valley Pkwy, Ladera Ranch, California |
| Authorized Official Name and Position | Ghalib Wahidi (MD) |
| Authorized Official Contact | 9495292330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group 27702 Crown Valley Pkwy Suite D4-113 Ladera Ranch CA 92694-0608 Ph: (949) 529-2330 | Summit Medical Group 27702 Crown Valley Pkwy Suite D4-113 Ladera Ranch CA 92694-0608 Ph: (949) 529-2330 |
| NPI Number | 1831595024 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831595024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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