Provider Demographics
NPI:1316297294
Name:ANZ CLINICS INC
Entity type:Organization
Organization Name:ANZ CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIDAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:760-339-2802
Mailing Address - Street 1:1503 N IMPERIAL AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-6301
Mailing Address - Country:US
Mailing Address - Phone:760-339-2802
Mailing Address - Fax:760-339-2829
Practice Address - Street 1:1503 N IMPERIAL AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-6301
Practice Address - Country:US
Practice Address - Phone:760-339-2802
Practice Address - Fax:760-339-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty