| Ali Ahmad Medical Corp | |
|
350 W 5th St Ste 105 San Pedro CA 90731-2751 | |
| (424) 477-5576 | |
| (424) 299-4176 |
| Full Name | Ali Ahmad Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 350 W 5th St Ste 105, San Pedro, California |
| Authorized Official Name and Position | Ali Ahmad (OWNER) |
| Authorized Official Contact | 7145960400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Ahmad Medical Corp 350 W 5th St Ste 105 San Pedro CA 90731-2751 Ph: (424) 477-5576 | Ali Ahmad Medical Corp 350 W 5th St Ste 105 San Pedro CA 90731-2751 Ph: (424) 477-5576 |
| NPI Number | 1841603586 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841603586 | NPI | - | NPPES |
| CB246770 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C127870 (California) | Primary |
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