Individual
BASSAM ALJOMARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(866) 682-4842
(877) 435-6573
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(866) 682-4842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A136340
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2018
Last updated
08/23/2021
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