Individual
DR. AHMAD MASOOD MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-4151
(858) 964-3123
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-4151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105973
CA
207RG0100X
Gastroenterology Physician
Primary
A105973
CA
Other
Enumeration date
06/29/2009
Last updated
11/12/2018
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