Individual
AHMAD SIAR AYOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S
Contact information
Practice address
20101 LAKE CHABOT RD FL 3, CASTRO VALLEY, CA 94546
(510) 886-3400
(510) 506-7729
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 886-3400
(510) 506-7729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
898468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A102267
STATE MEDICAL LICENSE
CA
Enumeration date
05/02/2007
Last updated
09/23/2019
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