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AWS AL JANDEEL MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1629566526
Individual Registrant: AWS AL JANDEEL MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
24910 LAS BRISAS RD STE 111 MURRIETA, CA 92562-4010 US
Tel: 951-694-8549 Fax: --
Tel: 951-694-8549 Fax: --
Contact information for business:
24910 LAS BRISAS RD STE 111 MURRIETA, CA 92562-4010 US
Tel: 951-694-8549 Fax: --
Tel: 951-694-8549 Fax: --
Registration Information:
NPI: 1629566526
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A173530 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
