Ali, Mohammed Mahmood

Ali, Mohammed Mahmood is an sole proprietor health care provider with primary practice located at 23672 Birtcher Dr Unit A, Lake Forest CA 92630-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ali, Mohammed Mahmood can be contacted via phone (949) 770-7301.

Contact Information

Primary practice address
23672 Birtcher Dr Unit A Lake Forest CA 92630-1711
Fax: (949) 770-0634
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A83688 California

Profile Details

NPI number 1053405506
LBN Legal business name Ali, Mohammed Mahmood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jan 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053405506 NPPES
California MEDICAID 00A836880

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