Individual provider · NPI-1

Ahmad Belal Al-Zughoul, MD

Preventive Medicine, Aerospace Medicine · Edwards, CA

NPI number1417709171
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1417709171
Entity type
Individual (NPI-1)
Name
Mr. Ahmad Belal Al-Zughoul
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2024
Certification date
May 19, 2026
Last updated
May 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083A0100X Preventive Medicine, Aerospace Medicine0101287170VAYes

Practice location

55 N Wolfe Ave
Edwards, CA 93524-6201

Phone 661-277-2145

Mailing address

276 5th Ave
Redwood City, CA 94063-3734

Phone 650-521-6489

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