Puthawala, Ajmel A

Puthawala, Ajmel A is an individual health care provider with primary practice located at 18111 Brookhurst St Suite 0300, Fountain Valley CA 92708-6728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Puthawala, Ajmel A can be contacted via phone (714) 962-7100.

Contact Information

Primary practice address
18111 Brookhurst St Suite 0300 Fountain Valley CA 92708-6728
Fax: (714) 963-7600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A29351 California

Profile Details

NPI number 1245249325
LBN Legal business name Puthawala, Ajmel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2006
Last updated Mar 7th, 2023 - about last year

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 1245249325 NPPES
California Other A29351 LICENSE
California MEDICAID 00A029351 LICENSE

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