Organization
MADI MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AHMADI NP (OWNER)
(619) 213-7434
Entity
Organization
Contact information
Practice address
2218 SHADYRIDGE AVE, ESCONDIDO, CA 92029-5307
(619) 213-7434
(619) 215-5158
Mailing address
PO BOX 462122, ESCONDIDO, CA 92046-2122
(619) 213-7434
(619) 215-5158
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
01/06/2025
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