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Individual

DR. ALFRED C. MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
26520 CACTUS AVE, ROOM #F2027, MORENO VALLEY, CA 92555
(951) 486-4574
(951) 486-4560
Mailing address
4347 PORTAGE ST NW STE 102, NORTH CANTON, OH 44720-7371
(800) 527-0336
(330) 415-1821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A40866
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A408660
CA
Enumeration date
01/26/2006
Last updated
06/05/2018
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