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General NPI Number Information
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NPI Number | 1386356178
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Entity Type | Organization
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Legal Business Name | PRIMARY AND MULTI SPECIALTY CLINICS OF ANAHEIM INC
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 3030 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-3897
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Country | US
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Telephone | 657-337-5055
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Fax | 657-337-5057
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Provider Business Mailing Address
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Address Line | 710 N EUCLID ST STE 400
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City | ANAHEIM
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State | CA
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Zip | 92801-4132
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Country | US
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Telephone | 714-517-2000
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Fax | 714-490-1975
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. MITCHELL WAY LEW
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Credential | MD
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Telephone | 714-813-5129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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