Individual
JAFAR AHMAD M BUKHAMSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 N BROADWAY STE 205, LOS ANGELES, CA 90012-2342
(818) 206-5083
Mailing address
5721 CRESCENT PARK W APT 203, PLAYA VISTA, CA 90094-4000
(818) 206-5083
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37454
CA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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