Individual
AHMAD ALI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2046 ALLEN AVE, RM 100, ALTADENA, CA 91001-3424
(626) 396-5920
Mailing address
2046 ALLEN AVE, RM 100, ALTADENA, CA 91001-3424
(626) 396-5920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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