Organization
AHMAD MD THERA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKARIA AHMAD (PRESIDENT)
(714) 596-0400
Entity
Organization
Contact information
Practice address
16121 BEACH BLVD STE B, HUNTINGTON BEACH, CA 92647-3804
(714) 596-0400
Mailing address
16121 BEACH BLVD STE B, HUNTINGTON BEACH, CA 92647-3804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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