| Ahmad Beach Skin Md Inc | |
|
320 Superior Ave Ste 260 Newport Beach CA 92663-2778 | |
| (949) 333-9056 | |
| Not Available |
| Full Name | Ahmad Beach Skin Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Superior Ave Ste 260, Newport Beach, California |
| Authorized Official Name and Position | Ali Ahmad (MD) |
| Authorized Official Contact | 7143661216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Beach Skin Md Inc 320 Superior Ave Ste 260 Newport Beach CA 92663-2778 Ph: (949) 333-9056 | Ahmad Beach Skin Md Inc 320 Superior Ave Ste 260 Newport Beach CA 92663-2778 Ph: (949) 333-9056 |
| NPI Number | 1508401761 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 08/27/2020 |
| Medicare PECOS PAC ID | 0941623136 |
|---|---|
| Medicare Enrollment ID | O20200707000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508401761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952587412 PECOS PAC ID: 8224253273 Enrollment ID: I20140812001229 |
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