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KOMAIL MUJTABA ALI MBBS

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1962039636

Individual Registrant:
 KOMAIL MUJTABA  ALI MBBS
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

Contact information for business:
26520 CACTUS AVE STE 201  MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-5908  Fax: 951-486-5910

Registration Information:
NPI: 1962039636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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