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Contact Information

AHMED MEDICAL CORPORATION
15201 11TH ST STE 400
VICTORVILLE, CA92395-3735
 Phone: 760-955-7095
 Fax: 760-951-1076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AHMED MEDICAL CORPORATION

NPI # 1346440500
LBN Legal business name AHMED MEDICAL CORPORATION
Authorized official KELLY AHMED - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2007
Last updated 07/24/2007 - About 19 years ago
Identifiers
CA License # A51407
CA License # A51617
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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