Provider Demographics
NPI:1497985352
Name:TAMIMI MEDICAL GROUP
Entity Type:Organization
Organization Name:TAMIMI MEDICAL GROUP
Other - Org Name:SILVER STRAND WELLNESS CENTER, APMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-575-8887
Mailing Address - Street 1:667 PALM AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:IMPERIAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:91932-1243
Mailing Address - Country:US
Mailing Address - Phone:619-575-8887
Mailing Address - Fax:619-575-1374
Practice Address - Street 1:667 PALM AVE
Practice Address - Street 2:SUITE A
Practice Address - City:IMPERIAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:91932-1243
Practice Address - Country:US
Practice Address - Phone:619-575-8887
Practice Address - Fax:619-575-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADE595AMedicare PIN