Individual
AMMAR MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1985 ZONAL AVE, LOS ANGELES, CA 90089-5305
(323) 442-1369
Mailing address
9589 FOUR WINDS DR APT 1428, ELK GROVE, CA 95758-7148
(650) 267-9193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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