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2701 S BRISTOL ST SANTA ANA CA 927046201
MOHAMAD ALBOUIDANI is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1770670713. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5698775526. The primary specialty is INTERNAL MEDICINE. The organization is PALMYRA MEDICAL GROUP INC. The address is 2701 S BRISTOL ST, , SANTA ANA, CA, 927046201. The zip code is 927046201.
|Nation Provider ID||1770670713|
|PAC ID by PECOS||5698775526|
|Professional Enrollment ID||I20130304000600|
|Medical School Name||OTHER|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||PALMYRA MEDICAL GROUP INC|
|Group Practice PAC ID||1759505167|
|Number of Group Practice members||1|
|Address||2701 S BRISTOL ST, , SANTA ANA, CA, 927046201|
|Hospital affiliation LBN||UHS-CORONA, INC.|