Individual
ABDIRIZACK ABDULLAHI AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13135 MESA CREST PL, SAN DIEGO, CA 92129-2249
(858) 413-5494
Mailing address
13135 MESA CREST PL, SAN DIEGO, CA 92129-2249
(858) 413-5494
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4283879
NON-EMERGENCY MEDICAL TRANSPORTATION
CA
Enumeration date
01/16/2018
Last updated
01/16/2018
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