Provider Demographics
NPI:1306733738
Name:STAR ALLIANCE MEDICAL GROUP INC
Entity type:Organization
Organization Name:STAR ALLIANCE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:
Authorized Official - Last Name:MONIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-351-8669
Mailing Address - Street 1:PO BOX 27518
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92809
Mailing Address - Country:US
Mailing Address - Phone:760-351-8669
Mailing Address - Fax:760-351-8894
Practice Address - Street 1:195 WEST LEGION ROAD
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227
Practice Address - Country:US
Practice Address - Phone:760-351-8669
Practice Address - Fax:760-351-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care