Organization
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Active
Parent organization
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Authorized official
DR. SYED SAJEEL AHMED (OWNER/PARTNER)
(661) 945-8717
Entity
Organization
Contact information
Practice address
44105 15TH ST W, 303, LANCASTER, CA 93534-4089
(661) 945-8717
(661) 945-1118
Mailing address
44105 15TH ST W, SUITE 303, LANCASTER, CA 93534-4088
(661) 945-8717
(661) 945-1118
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A87434
CA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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