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Contact Information

ALFRED C MA, MD
26520 CACTUS AVE
ROOM #F2027
MORENO VALLEY, CA92555
 Phone: 951-486-4574
 Fax: 951-486-4560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ALFRED C MA · (Male)

NPI Number 1932179330
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 06/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A40866
  • CA Medicaid 00A408660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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