Individual
ALI AHMADZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6555 MOUNT ADA RD UNIT 126, SAN DIEGO, CA 92111-3151
(909) 576-3419
Mailing address
6555 MOUNT ADA RD UNIT 126, SAN DIEGO, CA 92111-3151
(909) 576-3419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032371
CA
Other
Enumeration date
10/17/2024
Last updated
06/05/2025
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