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Individual

DAVID AHAMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 S G ST, SAN BERNARDINO, CA 92410
(909) 382-7100
Mailing address
1200 CALIFORNIA ST STE 240, REDLANDS, CA 92374-2948
(909) 558-6526

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A149859
CA
207Q00000X
Family Medicine Physician
MT207310
PA

Other

Enumeration date
06/05/2014
Last updated
07/21/2022
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