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General NPI Number Information
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NPI Number | 1285369462
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Entity Type | Organization
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Legal Business Name | HOMESTEAD MEDICAL GROUP INC.
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 26040 ACERO # 108
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2768
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Country | US
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Telephone | 310-666-3359
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Fax | 714-459-7009
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Provider Business Mailing Address
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Address Line | 27101 PUERTA DEL ORO
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4421
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Country | US
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Telephone | 310-666-3359
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MASSOUD SALEH
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Credential | MS, CE, ATE
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Telephone | 310-666-3359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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