MEDICARE: JAMEELA QURESHI M.D.

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	208000000X	Pediatrics Physician	A29379	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WA29379A	OTHER	CA	MEDI-CAL NO.

General Provider Information

NPI Number	:	1841396843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEELA QURESHI M.D.

Provider Business Mailing Address
First Line	:	3756 SANTA ROSALIA DR
Second Line	:	SUITE 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3606
Country	:	US
Telephone Number	:	323-568-5460
Fax Number	:	323-290-3439

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR
Second Line	:	SUITE 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3606
Country	:	US
Telephone Number	:	323-568-5460
Fax Number	:	323-290-3439

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/09/2007

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Directions to “ JAMEELA QURESHI M.D.” Practice Location

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