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Organization
PONTINE INCORPORATED
Active
Organization
PONTINE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUSUF HAROON AHMAD MD (PRESIDENT)
(510) 225-9090
Entity
Organization
Contact information
Practice address
12935 ALCOSTA BLVD UNIT 2037, SAN RAMON, CA 94583-6098
(510) 225-9090
Mailing address
12935 ALCOSTA BLVD UNIT 2037, SAN RAMON, CA 94583-6098
(510) 225-9090
(510) 544-0055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
A116785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A116785
MEDICAL LICENSE
CA
Enumeration date
05/21/2013
Last updated
05/17/2024
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