OrganizationAnatomical Impairment Medical Group, IncSpecialistOther Service ProvidersPractice Address2500 E. Ball Road Ste 200, Anaheim, CA 92806(714) 284-0111PECOS EnrollmentBased on the most recent information from CMS, provider Anatomical Impairment Medical Group, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1407197718Provider TypeOrganizationFull NameAnatomical Impairment Medical Group, IncSubpartNoEnumeration Date3/12/2013Last Updated3/12/2013Contact InformationPractice LocationPractice Address2500 E. Ball Road Ste 200, Anaheim, CA 92806Phone(714) 284-0111Fax(714) 284-0433Mailing LocationMailing Address2500 E. Ball Road Ste 200, Anaheim, CA 92806Phone(714) 284-0111Fax(714) 284-0433Authorized OfficialNameAhmed, Ghazala (Secretary)Phone(714) 284-0111Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseFNP41580California