Individual
AFDAL IBRAHIM ALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8970 WARNER AVE, FOUNTAIN VALLEY, CA 92708-3211
(714) 848-7757
Mailing address
8970 WARNER AVE, FOUNTAIN VALLEY, CA 92708-3211
(714) 848-7757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094190
—
CA
Enumeration date
11/21/2006
Last updated
02/13/2008
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