Organization
ALI M. AWADA M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MOHAMAD AWADA M.D. (PRESIDENT)
(310) 355-0054
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD, 100, HAWTHORNE, CA 90250-2321
(310) 355-0054
(310) 355-0293
Mailing address
11633 HAWTHORNE BLVD, 100, HAWTHORNE, CA 90250-2321
(310) 355-0054
(310) 355-0293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A768440
MEDI-CAL
CA
01
—
1992722995
INDIVIDUAL NPI NUMBER
CA
Enumeration date
07/26/2007
Last updated
07/26/2007
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