Ajang, Mahmoud

Ajang, Mahmoud is an individual health care provider with primary practice located at 378 W 6Th St , San Pedro CA 90731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ajang, Mahmoud can be contacted via phone (310) 547-2882.

Contact Information

Primary practice address
378 W 6Th St San Pedro CA 90731
Phone: (310) 547-2882
Fax: (310) 547-3015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A37717 California

Profile Details

NPI number 1922182682
LBN Legal business name Ajang, Mahmoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 31st, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922182682 NPPES
California MEDICAID 00A377170

Popular Providers