Provider Demographics
NPI:1982950499
Name:WEST CARE FAMILY MEDICAL CENTER A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:WEST CARE FAMILY MEDICAL CENTER A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-563-0709
Mailing Address - Street 1:2500 E BALL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-5054
Mailing Address - Country:US
Mailing Address - Phone:714-563-0709
Mailing Address - Fax:714-563-1544
Practice Address - Street 1:2500 E BALL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-5054
Practice Address - Country:US
Practice Address - Phone:714-563-0709
Practice Address - Fax:714-563-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty