| Organization Name: | ANAHEIM FAMILY MEDICAL INC |
| NPI Number: | 1225225543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELAHEH FARSHIDI (PRESIDENT) |
| Mailing Address: | 1801 W Romneya Dr Suite 305 Anaheim |
| State: | CA US |
| Postal Code: | 928011825 |
| Phone Number: | 7149995948 |
| Fax Number: | 7149990930 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A49801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |