MEDICARE: SAMIA ATEIA MD INC BALDWIN MEDICAL CLINIC

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	208000000X	CA
2	207V00000X	Obstetrics & Gynecology Physician	207V00000X	CA

General Provider Information

NPI Number	:	1376615401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMIA ATEIA MD INC BALDWIN MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	14135 FRANCISQUITO AVE
Second Line	:	SUITE#106
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-6107
Country	:	US
Telephone Number	:	626-960-3753
Fax Number	:	626-962-9866

Provider Business Practice Location Address
First Line	:	14135 FRANCISQUITO AVE
Second Line	:	SUITE#106
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-6107
Country	:	US
Telephone Number	:	626-960-3753
Fax Number	:	626-962-9866

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. NASHAT N. ATEIA
Credential	:	M.D.
Telephone Number	:	626-960-3753

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/15/2008

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