Individual
ANITHA FATHIMA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(609) 865-0648
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A187422
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
11/10/2023
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