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Organization
MAHMOUD AJANG M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MAHMOUD AJANG M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD AJANG M.D. (PRESIDENT)
(310) 547-2882
Entity
Organization
Contact information
Practice address
378 W 6TH ST, SAN PEDRO, CA 90731-3338
(310) 547-1801
(310) 547-3015
Mailing address
3466 HIGHTIDE DR, RANCHO PALOS VERDES, CA 90275-6131
(310) 547-2882
(310) 547-3015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A37717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A377170
—
CA
Enumeration date
06/10/2008
Last updated
06/10/2008
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