Individual
IRFAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8620
(714) 289-4072
Mailing address
DEPT 1814, LOS ANGELES, CA 90084-1814
(714) 532-7965
(714) 516-4328
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C51038
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C51038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C510380
—
CA
Enumeration date
07/13/2006
Last updated
10/24/2007
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