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NPI Code Detail

MEDICARE: MESA PULMONARY GROUP, INC.

MEDICARE: MESA PULMONARY GROUP, INC.
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
1207R00000XInternal Medicine Physician
2207RC0200XCritical Care Medicine (Internal Medicine) Physician
3207RP1001XPulmonary Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265494835OTHERCAINDIVIDUAL NPI
21790181311OTHERCAINDIVIDUAL NPI

General Provider Information

NPI Number : 1821610874
Entity Type Code : Organization
Provider Name (Legal Business Name) : MESA PULMONARY GROUP, INC.
Provider Business Mailing Address
First Line : P.O. BOX 8500
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92658-8500
Country : US
Telephone Number : 949-873-5537
Fax Number : 949-548-2575
Provider Business Practice Location Address
First Line : 136 BROADWAY
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-2818
Country : US
Telephone Number : 949-873-5537
Fax Number : 949-837-5647
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ALEXANDER J SWEIDAN
Credential : M.D.
Telephone Number : 310-723-5303
Provider Enumeration Date : 05/13/2020
Last Update Date : 03/02/2026

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