Organization
ALI AHMAD MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AHMAD MD (OWNER)
(714) 596-0400
Entity
Organization
Contact information
Practice address
350 W 5TH ST STE 105, SAN PEDRO, CA 90731-2751
(424) 477-5576
(424) 299-4176
Mailing address
350 W 5TH ST STE 105, SAN PEDRO, CA 90731-2751
(424) 477-5576
(424) 299-4186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C127870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB246770
MEDICARE PTAN
CA
Enumeration date
06/10/2014
Last updated
08/27/2020
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