Individual
AHMED AL-WAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A183713
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2020
Last updated
03/23/2024
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