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KOMAIL MUJTABA ALI MBBS
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1962039636
Individual Registrant: KOMAIL MUJTABA ALI MBBS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
26520 CACTUS AVE STE 201 MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-5908 Fax: 951-486-5910
Tel: 951-486-5908 Fax: 951-486-5910
Contact information for business:
26520 CACTUS AVE STE 201 MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-5908 Fax: 951-486-5910
Tel: 951-486-5908 Fax: 951-486-5910
Registration Information:
NPI: 1962039636
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
