MEDICARE: ANAHEIM HEALTH MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	A46393	CA

General Provider Information

NPI Number	:	1326263625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAHEIM HEALTH MEDICAL GROUP

Provider Business Mailing Address
First Line	:	3055 W ORANGE AVE STE 103
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3152
Country	:	US
Telephone Number	:	714-995-2901
Fax Number	:	714-995-5474

Provider Business Practice Location Address
First Line	:	3055 W ORANGE AVE STE 103
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3152
Country	:	US
Telephone Number	:	714-995-2901
Fax Number	:	714-995-5474

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AHMED BADR
Credential	:	M.D.
Telephone Number	:	714-995-2901

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	01/23/2008

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Directions to “ANAHEIM HEALTH MEDICAL GROUP ” Practice Location

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