Organization
CAL CITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHMEAD ALI MD (OWNER)
(661) 547-3906
Entity
Organization
Contact information
Practice address
9300 N LOOP BLVD STE A&B, CALIFORNIA CITY, CA 93505-2269
(760) 373-1256
(760) 373-1214
Mailing address
41019 WOODSHIRE DR, PALMDALE, CA 93551-5746
(661) 547-3906
(661) 622-4257
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G78625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093898454
—
CA
05
—
RHM18534G
—
CA
Enumeration date
12/05/2011
Last updated
01/06/2012
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