Individual
MR. AJMAL MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
4023 MARINE AVE, LAWNDALE, CA 90260
(310) 508-8693
(310) 508-8693
Mailing address
3430 W 171ST ST, TORRANCE, CA 90504-2406
(310) 508-8693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NP19040
CA
363L00000X
Nurse Practitioner
19040
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19040
CA
363LP2300X
Primary Care Nurse Practitioner
NP 19040
CA
Other
Enumeration date
08/07/2009
Last updated
01/03/2024
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