Basic Information
| Provider Information | |||||||||
| NPI: | 1508326067 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAJEED | ||||||||
| FirstName: | WASAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41840 ENTERPRISE CIR N | ||||||||
| Address2: | |||||||||
| City: | TEMECULA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925905654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607376931 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41840 ENTERPRISE CIR N | ||||||||
| Address2: | |||||||||
| City: | TEMECULA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925905654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512256400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2019 | ||||||||
| LastUpdateDate: | 08/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A177186 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.