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AHMED MEDICAL CORPORATION NPI 1346440500


NPI Information

NPI: 1346440500
Provider Name: AHMED MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0956908

Address:
15201 11TH ST STE 400
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-7095
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AHMED MEDICAL CORPORATION is a family medicine in Victorville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AHMED MEDICAL CORPORATION NPI is 1346440500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15201 11TH ST STE 400
VICTORVILLE, CA
ZIP 92395-735
Phone: (760) 955-7095
Fax: (760) 951-1076

The provider's authorized official is Kelly Ahmed .
The authorized official title is Owner and has the following contact phone number (760) 956-1095.

The CLIA number assigned to this NPI record is 05D0956908 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseA51617CALIFORNIANo
2207Q00000XFamily MedicineA51407CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E37615MEDICARE UPINCALIFORNIA
2E60172MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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