| Ashmead Ali | |
|
16914 Highway 14 Mojave CA 93501-1226 | |
| (661) 824-2729 | |
| (661) 430-5448 |
| Full Name | Ashmead Ali |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 16914 Highway 14, Mojave, California |
| Authorized Official Name and Position | Ashmead Ali (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6618242729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashmead Ali 16914 Highway 14 Mojave CA 93501-1226 Ph: (661) 824-2729 | Ashmead Ali 16914 Highway 14 Mojave CA 93501-1226 Ph: (661) 824-2729 |
| NPI Number | 1336433051 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336433051 | NPI | - | NPPES |
| G78625 | Other | CA | LIC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | G78625 (California) | Primary |