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NPI Code Detail

MEDICARE: PRECISION RHEUMATOLOGY, INC

MEDICARE: PRECISION RHEUMATOLOGY, INC
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
1207RR0500XRheumatology Physician

General Provider Information

NPI Number : 1558991596
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION RHEUMATOLOGY, INC
Provider Business Mailing Address
First Line : 2500 E BALL RD STE 100
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-5062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2050 S EUCLID ST
Second Line :
City : ANAHEIM
State : CA
Zip : 92802-3111
Country : US
Telephone Number : 714-883-7180
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARYAM GUL
Credential :
Telephone Number : 714-883-7180
Provider Enumeration Date : 01/17/2020
Last Update Date : 06/29/2021

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Directions to “PRECISION RHEUMATOLOGY, INC ” Practice Location

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