Individual
DR. IQBAL ISMAIL KASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39115 TRADE CENTER DR # 130, PALMDALE, CA 93551-3649
(661) 273-9550
Mailing address
11222 RAVENNA LN, NORTHRIDGE, CA 91326-4171
(818) 621-3919
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A109426
CA
Other
Enumeration date
04/18/2011
Last updated
11/03/2021
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