Individual
AHMED MOOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4061 FAIRMOUT AVE, SAN DIEGO, CA 92105
(619) 865-3475
Mailing address
4061 FAIRMOUT AVE, SAN DIEGO, CA 92105
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
810714522
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/28/2017
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