Individual provider · NPI-1

Dr. Samir Abed Ahmad, M.D

Internal Medicine · Mission Viejo, CA

NPI number1497710545
StatusActive
Last updated in NPPESMay 1, 2024

Details

NPI
1497710545
Entity type
Individual (NPI-1)
Name
Dr. Samir Abed Ahmad
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Apr 20, 2006
Certification date
May 1, 2024
Last updated
May 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA81614CAYes
207R00000X Internal MedicineME146737FL
207RG0300X Internal Medicine, Geriatric MedicineK9475TX

Practice location

27800 Medical Center Rd Ste 109
Mission Viejo, CA 92691-6410

Phone 949-866-3600 · Fax 949-221-3537

Mailing address

27800 Medical Center Rd Ste 109
Mission Viejo, CA 92691-6410

Phone 949-866-3600 · Fax 949-221-3537

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