Individual
AMGAD ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8283 GROVE AVE, RANCHO CUCAMONGA, CA 91730-3137
(909) 480-4808
(909) 480-4843
Mailing address
8283 GROVE AVE, RANCHO CUCAMONGA, CA 91730-3137
(909) 480-4808
(909) 480-4843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA56123
CA
363A00000X
Physician Assistant
PA56123
CA
Other
Enumeration date
10/16/2018
Last updated
03/26/2026
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