Provider Demographics
NPI:1598914780
Name:ROYAL MEDICAL GROUP
Entity Type:Organization
Organization Name:ROYAL MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GHAN
Authorized Official - Middle Name:SHYAM
Authorized Official - Last Name:LOHIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-444-4448
Mailing Address - Street 1:PO BOX 26098
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92799-6098
Mailing Address - Country:US
Mailing Address - Phone:714-444-4448
Mailing Address - Fax:714-444-9892
Practice Address - Street 1:1120 W WARNER AVE STE A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3179
Practice Address - Country:US
Practice Address - Phone:714-444-4448
Practice Address - Fax:714-444-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty