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NPI Code Detail

MEDICARE: DR. AMAL MUNAJED MD

MEDICARE: DR. AMAL MUNAJED 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
1207L00000XAnesthesiology PhysicianA99460CA

General Provider Information

NPI Number : 1629026885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMAL MUNAJED MD
Provider Business Mailing Address
First Line : 210N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 714-347-1010
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 726 FOURTH STREET
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number : 530-749-4300
Fax Number : 925-973-0653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 10/26/2015

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