Individual
DR. HAMOUDI AL-BANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13851 E 14TH ST, SAN LEANDRO, CA 94578-2631
(510) 351-9373
(510) 351-0616
Mailing address
13851 E 14TH ST, SAN LEANDRO, CA 94578-2627
(510) 351-9373
(510) 351-0616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-3075855
TAX ID
CA
05
—
GR0045150
—
CA
Enumeration date
06/09/2006
Last updated
07/08/2007
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