Organization
AHMAD M MANSURY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD MANSURY MD (SOLE PROPRIETOR)
(818) 640-9886
Entity
Organization
Contact information
Practice address
8624 E CANYON VISTA DR, ANAHEIM, CA 92808-1620
(818) 640-9886
Mailing address
8624 E CANYON VISTA DR, ANAHEIM, CA 92808-1620
(818) 640-9886
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A100534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992960827
PERSONAL NPI
CA
Enumeration date
03/10/2017
Last updated
03/10/2017
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