Provider Demographics
NPI:1477356996
Name:ALHAMDI, AHMED KADHIM SR
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:KADHIM
Last Name:ALHAMDI
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10295 MOORPARK ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1515
Mailing Address - Country:US
Mailing Address - Phone:619-219-1689
Mailing Address - Fax:
Practice Address - Street 1:10295 MOORPARK ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1515
Practice Address - Country:US
Practice Address - Phone:619-219-1689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9NKZ099347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle