Doctor Name: | LUBNA AJMAL |
NPI Number: | 1760661516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | A97610 |
Business Practice Address: | 2650 S Bristol St 101- 103 Santa Ana, CA - 927045751 |
Business Phone Number: | 7147541444 |
Business Fax Number: | 7147547009 |
Mailing Address: | 19716 Georgina Cir, CERRITOS |
State: | CA |
Postal Code: | 907037504 |
Phone Number: | 5627432018 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A97610 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |