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Individual

OSSAMA MALOULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
255 E BONITA AVE BLDG 1B, POMONA, CA 91767-1923
(909) 275-7470
(909) 971-4532
Mailing address
310 N INDIAN HILL BLVD, PMB #801, CLAREMONT, CA 91711-4611
(909) 275-7470
(909) 971-4532

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088687
MI
207RI0200X
Infectious Disease Physician
Primary
C141209
CA

Other

Enumeration date
08/24/2006
Last updated
09/03/2019
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