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
1535 N CHINA LAKE BLVD STE B, RIDGECREST, CA 93555-2667
(760) 446-4656
(760) 446-4656
Mailing address
1535 N CHINA LAKE BLVD STE B, RIDGECREST, CA 93555-2667
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A87434
CA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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