# MATT AHMADI, DPM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013116219
- **Authorized official:** MATT AHMADI DPM (PRESIDENT)
- **Authorized official phone:** (949) 276-8900

## Contact information

- **Practice address:** 26800 CROWN VALLEY PKWY, SUITE 320, MISSION VIEJO, CA 92691-6384
- **Practice address phone:** (949) 276-8900
- **Practice address fax:** (949) 276-8901
- **Mailing address:** 26800 CROWN VALLEY PKWY, SUITE 320, MISSION VIEJO, CA 92691-6384
- **Mailing address phone:** (949) 276-8900
- **Mailing address fax:** (949) 276-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4539 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 09/11/2009