Provider Demographics
NPI:1336471242
Name:SAWAN MEDICAL GROUP INC
Entity Type:Organization
Organization Name:SAWAN MEDICAL GROUP INC
Other - Org Name:ALLPOINTS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-242-8221
Mailing Address - Street 1:16003 TUSCOLA RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0825
Mailing Address - Country:US
Mailing Address - Phone:760-242-8221
Mailing Address - Fax:760-242-8869
Practice Address - Street 1:16003 TUSCOLA RD
Practice Address - Street 2:SUITE H
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-0825
Practice Address - Country:US
Practice Address - Phone:760-242-8221
Practice Address - Fax:760-242-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55163208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty