Individual provider · NPI-1

Tarek El Ahmadieh, M.D.

Neurological Surgery · Loma Linda, CA

NPI number1487066098
StatusActive
Last updated in NPPESSep 8, 2022

Details

NPI
1487066098
Entity type
Individual (NPI-1)
Name
Tarek El Ahmadieh
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2014
Certification date
Sep 8, 2022
Last updated
Sep 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryA178742CAYes

Practice location

11370 Anderson St Ste B100
Loma Linda, CA 92354-3450

Phone 909-558-2880

Mailing address

11370 Anderson St Ste B100
Loma Linda, CA 92354-3450

Phone 909-558-2880

Other practice locations

25455 Barton Rd Ste 107a
Loma Linda, CA 92354-3139

Phone 909-558-4726

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