Individual provider · NPI-1

Maryam Ahmad, NP

Nurse Practitioner, Family · Torrance, CA

NPI number1043211733

StatusActive

Last updated in NPPESJan 7, 2020

Details

NPI: 1043211733
Entity type: Individual (NPI-1)
Name: Ms. Maryam Ahmad
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Aug 3, 2005
Certification date: Jan 7, 2020
Last updated: Jan 7, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	15210	CA	Yes

Practice location

4235 Pacific Coast Hwy
Torrance, CA 90505-5525

Phone 310-373-6847

Mailing address

10889 Wellworth Ave
Los Angeles, CA 90024-4918

Other practice locations

2900 N Sepulveda Blvd
Manhattan Beach, CA 90266-2730

Phone 310-546-3481

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