| Ahmad Md Thera Corp | |
|
16121 Beach Blvd Ste B Huntington Beach CA 92647-3804 | |
| (714) 596-0400 | |
| Not Available |
| Full Name | Ahmad Md Thera Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 16121 Beach Blvd Ste B, Huntington Beach, California |
| Authorized Official Name and Position | Zakaria Ahmad (PRESIDENT) |
| Authorized Official Contact | 7145960400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Md Thera Corp 16121 Beach Blvd Ste B Huntington Beach CA 92647-3804 Ph: () - | Ahmad Md Thera Corp 16121 Beach Blvd Ste B Huntington Beach CA 92647-3804 Ph: (714) 596-0400 |
| NPI Number | 1639724289 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/09/2019 |
| Medicare PECOS PAC ID | 6305218652 |
|---|---|
| Medicare Enrollment ID | O20230214002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639724289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Zakaria Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245644681 PECOS PAC ID: 4284933714 Enrollment ID: I20230214002489 |
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