Individual
DR. MOHAMMED IQBAL ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 LINCOLNSHIRE AVE, BUENA PARK, CA 90621-1021
(562) 262-1641
Mailing address
4900 LINCOLNSHIRE AVE, BUENA PARK, CA 90621-1021
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A048210
CA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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