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Individual

DR. MOUHANAD MARK ALWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 SAN BERNARDINO RD, UPLAND, CA 91786-4979
(909) 981-9991
Mailing address
1310 SAN BERNARDINO RD STE 205, UPLAND, CA 91786-4985
(909) 981-9991
(909) 981-1325

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A44569
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A44569
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A44569
STATE LICENSE
CA
Enumeration date
08/17/2006
Last updated
07/10/2025
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