Summit Medical Group

NPI #1831595024 in Ladera Ranch, California

Provider Information

NPI Number: 1831595024
Entity Type: Organization
Organization Name: Summit Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Nov 14, 2014
Last Updated: Jan 6, 2015

Practice Location

Address: 27702 CROWN VALLEY PKWY
Address 2: SUITE D4-113
City: Ladera Ranch
State: California
ZIP Code: 92694-0608
Phone: (949) 529-2330

Authorized Official

Name: GHALIB WAHIDI, MD
Title: MD
Phone: (949) 529-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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