Individual
DR. MATT M AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
26800 CROWN VALLEY PKWY, STE 320, MISSION VIEJO, CA 92691-6384
(949) 276-8900
(949) 276-8901
Mailing address
26800 CROWN VALLEY PARKWAY, STE 320, MISSION VIEJO, CA 92691
(949) 276-8900
(949) 276-8901
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4539
CA
Other
Enumeration date
08/02/2005
Last updated
10/30/2012
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