Individual
OSAMA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43112 15TH ST W, LANCASTER, CA 93534-6219
(877) 554-4404
Mailing address
4502 E AVENUE S, PALMDALE, CA 93552-4480
(877) 554-4404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10043713
TX
207QA0505X
Adult Medicine Physician
Primary
A137466
CA
Other
Enumeration date
05/21/2012
Last updated
12/08/2021
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