MEDICARE: MR. AMIN ATTIA MD

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	207RR0500X	Rheumatology Physician	A44842	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578626909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AMIN ATTIA MD

Provider Business Mailing Address
First Line	:	1901 TOWN AND COUNTRY DR STE 104
Second Line	:
City	:	NORCO
State	:	CA
Zip	:	92860-3611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 S MAIN ST STE 104
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-2538
Country	:	US
Telephone Number	:	951-734-3233
Fax Number	:	951-734-5284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	08/02/2021

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Directions to “ MR. AMIN ATTIA MD” Practice Location

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