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General NPI Number Information
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NPI Number | 1265203558
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Entity Type | Organization
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Legal Business Name | SUSHIL ANAND & ASSOCIATES MEDICAL CORP
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 13372 NEWPORT AVE STE B
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City | TUSTIN
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State | CA
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Zip | 92780-3426
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Country | US
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Telephone | 714-544-3430
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Fax | 714-573-8330
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Provider Business Mailing Address
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Address Line | 13372 NEWPORT AVE STE B
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City | TUSTIN
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State | CA
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Zip | 92780-3426
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Country | US
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Telephone | 714-544-3430
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Fax | 714-573-8330
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Authorized Official
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Title or Position | CFO
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Name | PREM ANAND
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Credential |
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Telephone | 909-682-0069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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