Individual
AHLAM MAHMOOD ALGAZZALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
20101 LAKE CHABOT RD FL 3, CASTRO VALLEY, CA 94546-5305
(510) 204-1844
(510) 247-6492
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-1844
(510) 247-6492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59807
CA
Other
Enumeration date
12/06/2020
Last updated
06/06/2022
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