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MOHAMAD ESMAIL AHMADI

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1992207062

Individual Registrant:
 MOHAMAD ESMAIL AHMADI 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1955 CITRACADO PKWY STE 300  ESCONDIDO, CA 92029-4113 US
Tel: 760-743-0456  Fax: 760-743-8005

Contact information for business:
15611 POMERADO RD STE 400  POWAY, CA 92064-2437 US
Tel: 858-673-2574  Fax: 858-613-2930

Registration Information:
NPI: 1992207062
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95007982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1992207062CA05
CA LICENSE95007982CA01




HEALTH CARE JOBS CA - Page 1



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